STEVEN K PETERSON (PA-C) – Physician Assistant, NPI 1639417124

STEVEN K PETERSON (PA-C) is a healthcare provider. based in Plainview, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1695 (NE). The NPI Number for STEVEN K PETERSON (PA-C) is 1639417124

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN K PETERSON (PA-C)
NPI
1639417124
Phone
(402) 582-3434
Address
704 N 3RD ST
Enumeration Date
18 January 2013
Last Update Date
18 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4025628445
Graduation Year
2012 (14 years ago)
PAC ID
3173778818
Group Practice PAC ID
1951210418
Professional Enrollment ID
I20130301000096
Address ID
NE686011668CO4508XSTXX316
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,397 PHYSICIAN ASSISTANT in NE

Provider Addresses for STEVEN K PETERSON (PA-C)

  • 704 N 3RD ST

    PLAINVIEW, NE 687692047

    Phone: (402) 582-3434

    Fax: (402) 582-4667

    Type: Location

  • PO BOX 490

    PLAINVIEW, NE 687690490

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Lilly USA, LLC ($25).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$25
Amgen Inc.$15
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: 2013-03-01

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
I20130301000096IPhysician AssistantNETBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 68769)

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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: 1951210418View full group profile
NameSpecialtyState
H O S P I T A L I S TNE
Orthopedic SurgeryNE
Physician AssistantNE
Cardiovascular Disease (Cardiology)NE
H O S P I T A L I S TCA
N E U R O L O G YMO
U R O L O G YNE
Hospitalist, Internal MedicineIA
Family PracticeNE
Orthopedic SurgeryIL

Reviews

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Frequently asked questions

How do payers reference STEVEN K PETERSON (PA-C)?
For STEVEN K PETERSON (PA-C), use NPI 1639417124 as the unique 10-digit identifier.
Would STEVEN K PETERSON (PA-C) appear as active to a payer?
You can treat STEVEN K PETERSON (PA-C) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is STEVEN K PETERSON (PA-C)?
STEVEN K PETERSON (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is STEVEN K PETERSON (PA-C) located near Plainview?
STEVEN K PETERSON (PA-C) currently maps to Plainview, Nebraska in this extract.
When was this NPI issued?
Enumeration for STEVEN K PETERSON (PA-C) is noted as January 18, 2013 where the registry provides it.

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