WILLIAM G. PETERSEN (M.D.) – Pulmonary Disease Physician, NPI 1770544579

WILLIAM G. PETERSEN (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in PULMONARY DISEASE. They hold the professional credentials M.D.. They hold a License No. G5477 (TX). The NPI Number for WILLIAM G. PETERSEN (M.D.) is 1770544579

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM G. PETERSEN (M.D.)
NPI
1770544579
Phone
(254) 724-2111
Address
PO BOX 847408
Enumeration Date
31 March 2006
Last Update Date
18 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
8063594673
Graduation Year
1982 (44 years ago)
PAC ID
3870621451
Group Practice PAC ID
3971748146
Professional Enrollment ID
I20100503000796
Address ID
TX791061711AM1751XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,186 PULMONARY DISEASE in TX

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Provider Addresses for WILLIAM G. PETERSEN (M.D.)

  • PO BOX 847408

    DALLAS, TX 752847408

    Phone: (254) 724-2111

    Type: Mailing

  • PO BOX 840026

    DALLAS, TX 752840026

    Phone: (254) 724-2111

    Type: Mailing

  • Baylor Scott & White Medical Center - Temple, 2401, South 31st Street, Temple, Bell County, Texas, 76508, United States

    TEMPLE, TX 765080001

    Phone: (254) 724-2111

    Type: Location

  • 1600 WALLACE BLVD

    AMARILLO, TX 791061799

    Phone: (806) 212-2129

    Fax: (806) 212-2246

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-04-18 • Largest payer in this snapshot: ABIOMED ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$22
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: 2010-05-03

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
I20100503000796IPulmonary DiseaseTXTBD

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
99291Critical care, first 30-74 minutes20278$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6433$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2420$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1515$0
31500Emergent insertion of breathing tube into windpipe using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Provider's Procedures

WILLIAM G. PETERSEN (M.D.) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASETX31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope1918
PULMONARY DISEASETX36556Insertion of central venous catheter for infusion, patient 5 years or older2825
PULMONARY DISEASETX94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration1111

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: 3971748146View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
General Practice, Undersea And Hyperbaric MedicineTX
Nurse PractitionerTX
General SurgeryTX
-TX
H O S P I T A L I S TOR
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX

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Frequently asked questions

Does WILLIAM G. PETERSEN (M.D.) have a public NPI I can cite?
Public records show WILLIAM G. PETERSEN (M.D.) under NPI 1770544579.
Should I treat WILLIAM G. PETERSEN (M.D.) as an active provider?
Patients and plans typically see WILLIAM G. PETERSEN (M.D.) as active in the national extract.
Which specialty label fits WILLIAM G. PETERSEN (M.D.)?
NPPES ties WILLIAM G. PETERSEN (M.D.) to Pulmonary Disease Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is WILLIAM G. PETERSEN (M.D.) tied to Dallas, Texas?
If you are local to Dallas, Texas, WILLIAM G. PETERSEN (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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