DR. MICHAEL W. PETERSON (MD) – Emergency Medicine Physician, NPI 1124110127
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MICHAEL W. PETERSON (MD)
735 N 5TH ST STE U
SILSBEE, TX 776563838
Phone: (409) 291-0004
Type: Mailing
600 S AUSTIN RD
EAGLE LAKE, TX 774343202
Phone: (979) 234-5571
Type: Location
301, Valley View Trail, Double Oak, Denton County, Texas, 75077, United States
DOUBLE OAK, TX 750778434
Phone: (817) 228-5074
Type: Mailing
Hanaya Poke, 675 E, 2100 South, Liberty Wells, Salt Lake City, Salt Lake County, Utah, 84106, United States
SALT LAKE CITY, UT 841061887
Phone: (800) 366-1884
Fax: (801) 487-8197
Type: Location
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: 2005-03-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050325000726 | I | Emergency Medicine | TX | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 37 | 37 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 29 | 28 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 19 | 18 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 18 | 18 | $0 |
| 99282 | Emergency department visit with straightforward medical decision making | 13 | 11 | $0 |
Insurance plans in this area (ZIP 77656)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| - | TX | |
| Internal Medicine, Family Practice | TX | |
| Emergency Medicine | TX | |
| - | TX |
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