DR. SCOTT CY PETERSON (M.D.) – Surgery Physician, NPI 1841219540

DR. SCOTT CY PETERSON (M.D.) is a healthcare provider. based in Waco, Texas. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. K9149 (TX). The NPI Number for DR. SCOTT CY PETERSON (M.D.) is 1841219540

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT CY PETERSON (M.D.)
NPI
1841219540
Phone
(254) 202-7200
Address
100 HILLCREST MEDICAL BLVD
Enumeration Date
19 July 2006
Last Update Date
12 June 2024

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
4326403445
Graduation Year
1992 (34 years ago)
PAC ID
7315908571
Group Practice PAC ID
4486036662
Professional Enrollment ID
I20041021000186
Address ID
TX797615036OD540XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,644 GENERAL SURGERY in TX

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Provider Addresses for DR. SCOTT CY PETERSON (M.D.)

  • Baylor Scott & White Hillcrest Medical Center, 100, Hillcrest Medical Boulevard, Waco, McLennan County, Texas, 76712, United States

    WACO, TX 767128897

    Phone: (254) 202-7200

    Fax: (254) 202-7249

    Type: Location

  • PO BOX 847408

    DALLAS, TX 752847408

    Phone:

    Type: Mailing

  • 540 W 5TH ST STE 340

    ODESSA, TX 797615036

    Phone: (432) 640-3445

    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 $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2023-03-15 • Largest payer in this snapshot: KCI USA, Inc. ($73).

Total Amount

$73

General + Research + Ownership

Payments

1

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
KCI USA, Inc.$73
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: 2004-10-21

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
I20041021000186IGeneral SurgeryTXTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2618$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 76712)

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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: 4486036662View full group profile
NameSpecialtyState
General SurgeryTX
General SurgeryTX
General SurgeryMD

Reviews

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Frequently asked questions

Can I cross-check DR. SCOTT CY PETERSON (M.D.) using NPI 1841219540?
NPI 1841219540 belongs to DR. SCOTT CY PETERSON (M.D.); compare other details if you need extra assurance.
Would DR. SCOTT CY PETERSON (M.D.) appear as active to a payer?
You can treat DR. SCOTT CY PETERSON (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. SCOTT CY PETERSON (M.D.)'s focus?
For DR. SCOTT CY PETERSON (M.D.), the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. SCOTT CY PETERSON (M.D.) located near Waco?
DR. SCOTT CY PETERSON (M.D.) currently maps to Waco, Texas in this extract.
When was this NPI issued?
Enumeration for DR. SCOTT CY PETERSON (M.D.) is noted as July 19, 2006 where the registry provides it.

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