DR. WYLAN CORNELIUS PETERSON (M.D.) – Surgical Critical Care Physician, NPI 1659395523

DR. WYLAN CORNELIUS PETERSON (M.D.) is a healthcare provider. based in Corpus christi, Texas. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. Q0151 (TX). The NPI Number for DR. WYLAN CORNELIUS PETERSON (M.D.) is 1659395523

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. WYLAN CORNELIUS PETERSON (M.D.)
NPI
1659395523
Phone
(361) 881-3000
Address
600 Elizabeth St
Enumeration Date
26 July 2006
Last Update Date
18 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
5124284441
Graduation Year
2001 (25 years ago)
PAC ID
5799731105
Group Practice PAC ID
8729462981
Professional Enrollment ID
I20141222001144
Address ID
TX787451193AU4207XSTXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,186 PULMONARY DISEASE in TX

Provider Addresses for DR. WYLAN CORNELIUS PETERSON (M.D.)

  • 600 Elizabeth St

    Corpus Christi, TX 784042235

    Phone: (361) 881-3000

    Fax: (361) 881-3149

    Type: Location

  • 4310 James Casey St Ste 3C

    Austin, TX 787451120

    Phone: (512) 326-2800

    Fax: (512) 441-6388

    Type: Location

  • Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States

    ATT'N MS. SHAWANA JUDGE

    FORT SAM HOUSTON, TX 782344504

    Phone: (210) 916-1064

    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: 2014-12-22

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
I20141222001144ICritical Care (Intensivists)TXTBD

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 minutes3736$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3434$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3232$0
View full utilization report →

Insurance plans in this area (ZIP 78404)

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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: 8729462981View full group profile
NameSpecialtyState
General SurgeryTX
General SurgeryNC
General SurgeryDC
General SurgeryGA
General SurgeryTX
General SurgeryNY
General Surgery, Critical Care (Intensivists)NC
General Surgery, Critical Care (Intensivists)TX
General SurgeryMT

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Frequently asked questions

What is the standard ID for DR. WYLAN CORNELIUS PETERSON (M.D.) in the U.S.?
In the U.S., DR. WYLAN CORNELIUS PETERSON (M.D.) is identified by NPI 1659395523.
Quick check: is DR. WYLAN CORNELIUS PETERSON (M.D.) active?
Public NPPES data shows DR. WYLAN CORNELIUS PETERSON (M.D.) with an active NPI status right now.
What does the directory say DR. WYLAN CORNELIUS PETERSON (M.D.) does?
Insurance directories may phrase it differently, but here DR. WYLAN CORNELIUS PETERSON (M.D.) maps to Surgical Critical Care Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. WYLAN CORNELIUS PETERSON (M.D.) in Corpus Christi, Texas?
For routing, start with Corpus Christi, Texas for DR. WYLAN CORNELIUS PETERSON (M.D.), then verify phone and hours locally.
Can I export DR. WYLAN CORNELIUS PETERSON (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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