DR. BRIAN G PETERSON (MD) – Vascular Surgery Physician, NPI 1356359376

DR. BRIAN G PETERSON (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 2006019887 (MO). The NPI Number for DR. BRIAN G PETERSON (MD) is 1356359376

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN G PETERSON (MD)
NPI
1356359376
Phone
(314) 525-4325
Address
10012 KENNERLY RD
Enumeration Date
4 August 2006
Last Update Date
24 May 2016

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3144343049
Graduation Year
2000 (26 years ago)
PAC ID
1557463874
Group Practice PAC ID
1254365281
Professional Enrollment ID
I20070216000311
Address ID
MO630173641CH222XXRDXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

145 VASCULAR SURGERY in MO

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Provider Addresses for DR. BRIAN G PETERSON (MD)

  • 10012, Kennerly Road, Sappington, Saint Louis County, Missouri, 63128, United States

    SUITE 305

    SAINT LOUIS, MO 631282197

    Phone: (314) 525-4325

    Fax: (314) 525-4365

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 131 Open Payments records for all available years, with a total value of $109,116.

Total Amount is formed as General ($109,116) + Research ($0) + Ownership ($0) = $109,116.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Silk Road Medical, Inc. ($105,318).

Total Amount

$109,116

General + Research + Ownership

Payments

131

Total payment records

General Amount

$109,116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070216000311IVascular SurgeryMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93880Ultrasound of both sides of head and neck blood flow451432$0
93970Ultrasound study of arm or leg veins with compression and maneuvers352331$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers256243$0
93922Ultrasound study of arm and leg arteries145127$0
99213Established patient office or other outpatient visit, 20-29 minutes144138$0
View full utilization report →

Insurance plans in this area (ZIP 63128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254365281View full group profile
NameSpecialtyState
Nurse PractitionerMO
Thoracic SurgeryMO
Nurse PractitionerMO
Cardiac Surgery, Thoracic SurgeryMO
Nurse PractitionerMO
Cardiac Surgery, Thoracic Surgery, Vascular SurgeryMO
Nurse PractitionerMO
Nurse PractitionerMO
Vascular Surgery, Critical Care (Intensivists), General SurgeryMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Can I use this page to confirm DR. BRIAN G PETERSON (MD)'s NPI?
Yes. DR. BRIAN G PETERSON (MD) is listed with NPI 1356359376 in the public NPI dataset.
Is DR. BRIAN G PETERSON (MD) still practicing?
DR. BRIAN G PETERSON (MD) is currently listed as active in the public NPI registry.
What is DR. BRIAN G PETERSON (MD)'s primary classification?
Vascular Surgery Physician is the headline specialty for DR. BRIAN G PETERSON (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. BRIAN G PETERSON (MD) serve?
DR. BRIAN G PETERSON (MD)'s listing highlights Saint Louis, Missouri; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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