MARK PETERSON (PA-C) – Medical Physician Assistant, NPI 1043957327

MARK PETERSON (PA-C) is a healthcare provider. based in Rockingham, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MARK PETERSON (PA-C) is 1043957327

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MARK PETERSON (PA-C)
NPI
1043957327
Phone
(571) 299-7060
Address
1441 NATURAL SPRING LN
Enumeration Date
17 May 2022
Last Update Date
17 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5406891110
Graduation Year
2022 (4 years ago)
PAC ID
1254708555
Group Practice PAC ID
7618270729
Professional Enrollment ID
I20221028002162
Address ID
VA228018679RO2010XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for MARK PETERSON (PA-C)

  • 1441 NATURAL SPRING LN

    ROCKINGHAM, VA 228012283

    Phone: (571) 299-7060

    Mailing address matches the actual address.

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: 2022-10-28

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
I20221028002162IPhysician AssistantVATBD

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
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th38494$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes134123$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9957$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8859$0
View full utilization report →

Insurance plans in this area (ZIP 22801)

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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: 7618270729View full group profile
NameSpecialtyState
Internal Medicine, HospitalistVA
-VA
General SurgeryVA
Physician AssistantVA
Family PracticeVA
-VA
-VA
Gastroenterology, Internal MedicineVA
-OH
N E U R O L O G YVA

Reviews

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Frequently asked questions

Does MARK PETERSON (PA-C) have a public NPI I can cite?
Public records show MARK PETERSON (PA-C) under NPI 1043957327.
Should I treat MARK PETERSON (PA-C) as an active provider?
Patients and plans typically see MARK PETERSON (PA-C) as active in the national extract.
What services align with MARK PETERSON (PA-C)'s listing?
MARK PETERSON (PA-C)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit MARK PETERSON (PA-C) in Rockingham, Virginia?
For routing, start with Rockingham, Virginia for MARK PETERSON (PA-C), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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