TIMOTHY D PETERSON (MD) – Emergency Medicine Physician, NPI 1528041886
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TIMOTHY D PETERSON (MD)
Sutton Place, Taos Ski Valley, Taos County, New Mexico, United States
TAOS SKI VALLEY, NM 875250067
Phone: (575) 766-8421
Fax: (575) 776-8942
Type: Location
PO BOX 67
108 SUTTON PLACE
TAOS SKI VALLEY, NM 875250067
Phone: (575) 766-8421
Fax: (575) 776-8942
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-05-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050330000829 | I | Emergency Medicine | NM | TBD |
| I20110519000685 | I | Emergency Medicine | AK | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 87525)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | NM | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 67 | 61 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AK | |
| - | AK | |
| Emergency Medicine | IN | |
| Nurse Practitioner | AK | |
| Family Practice | AK | |
| Emergency Medicine | CO | |
| - | AK | |
| Family Practice | AK | |
| - | CO | |
| Nurse Practitioner | AK |
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