LAURA ALICE PETERSON (MD) – Vascular Surgery Physician, NPI 1881853307
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
303 VASCULAR SURGERY in OH
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Provider Addresses for LAURA ALICE PETERSON (MD)
3170 KETTERING BLVD BLDG B3
MORAINE, OH 454391924
Phone: (937) 991-3188
Fax: (937) 223-9811
Type: Mailing
Miami Valley Drive, Centerville, Montgomery County, Ohio, 45440, United States
CENTERVILLE, OH 45459
Phone: (937) 438-8640
Fax: (937) 438-8615
Type: Location
2300 Miami Valley Dr Ste 350
Centerville, OH 45459
Phone: (937) 438-8640
Fax: (937) 438-8615
Type: Location
30 E Apple St
Ste 5253
Dayton, OH 454092939
Phone: (937) 208-2552
Fax: (937) 208-6154
Type: Location
3130 N County Road 25A Ste 214
Troy, OH 453731337
Phone: (937) 438-8640
Fax: (937) 438-8615
Type: Location
1836 SOUTH AVE
LA CROSSE, WI 546015429
Phone: (608) 782-7300
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: 2021-11-08
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 |
|---|---|---|---|---|
| I20210928000939 | I | Vascular Surgery | WI | TBD |
| I20211108000573 | I | Vascular Surgery | IA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 129 | 81 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 41 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 16 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 17 | 16 | $0 |
| 97605 | Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less | 15 | 11 | $0 |
Insurance plans in this area (ZIP 45439)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | OH | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 30 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Cardiovascular Disease (Cardiology) | NY | |
| O T O L A R Y N G O L O G Y | WI | |
| P S Y C H I A T R Y | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Physician Assistant | IA | |
| General Surgery | WI | |
| Clinical Social Worker | WI | |
| General Surgery | WI | |
| P O D I A T R Y | WI |
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