JOHN C PETERSON (MD) – Anesthesiology Physician, NPI 1144312992

JOHN C PETERSON (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 18176 (NE). The NPI Number for JOHN C PETERSON (MD) is 1144312992

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
JOHN C PETERSON (MD)
NPI
1144312992
Phone
(402) 391-4855
Address
7822 DAVENPORT ST
Enumeration Date
29 September 2006
Last Update Date
1 November 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4026370600
Graduation Year
1986 (40 years ago)
PAC ID
5193637254
Group Practice PAC ID
2860826443
Professional Enrollment ID
I20050110000970
Address ID
NE681445611OM2808XPLZX402
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

340 ANESTHESIOLOGY in NE

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Provider Addresses for JOHN C PETERSON (MD)

  • 7822, Davenport Street, Omaha, Douglas County, Nebraska, 68114, United States

    OMAHA, NE 681143629

    Phone: (402) 391-4855

    Fax: (402) 391-6818

    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 3 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($54).

Total Amount

$54

General + Research + Ownership

Payments

3

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$54
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: 2005-01-10

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
I20050110000970IAnesthesiologyNETBD

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
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)9797$0
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)8585$0
01402Anesthesia for procedure for total knee joint replacement1616$0
76942Ultrasonic guidance for needle placement1616$0
64450Injection of anesthetic agent and/or steroid into other nerve or branch1313$0
View full utilization report →

Insurance plans in this area (ZIP 68114)

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Provider's Procedures

JOHN C PETERSON (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYNE36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin2222

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: 2860826443View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NE
A N E S T H E S I O L O G YNE
A N E S T H E S I O L O G YNE
Certified Registered Nurse Anesthetist (Crna)NE
-NE
Certified Registered Nurse Anesthetist (Crna)NE
A N E S T H E S I O L O G YNE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)NE

Reviews

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Frequently asked questions

What NPI should I save for JOHN C PETERSON (MD)?
Save NPI 1144312992 if you need a stable reference for JOHN C PETERSON (MD).
Is JOHN C PETERSON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JOHN C PETERSON (MD)?
The page reflects Anesthesiology Physician for JOHN C PETERSON (MD). Clinical services aligned with this taxonomy classification.
Does JOHN C PETERSON (MD) practice in Nebraska?
You will see Omaha, Nebraska on file for JOHN C PETERSON (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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