DR. PHILLIP ALLEN PETERSON (MD) – Family Medicine Physician, NPI 1104882596
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
Provider Addresses for DR. PHILLIP ALLEN PETERSON (MD)
106 HUFFARD DR
BLUEFIELD, VA 246059209
Phone: (276) 322-3427
Fax: (276) 322-4640
Type: Mailing
3997 BECKLEY RD
PRINCETON, WV 247407660
Phone: (304) 431-5499
Fax: (304) 431-3400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 186 Open Payments records for all available years, with a total value of $2,999.
Total Amount is formed as General ($2,999) + Research ($0) + Ownership ($0) = $2,999.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($433).
Total Amount
$2,999
General + Research + Ownership
Payments
186
Total payment records
General Amount
$2,999
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $433 |
| Bayer Healthcare Pharmaceuticals Inc. | $407 |
| Lilly USA, LLC | $398 |
| ABBVIE INC. | $328 |
| GlaxoSmithKline, LLC. | $153 |
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: 2011-01-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20061031000016 | I | Family Practice | WV | TBD |
| I20110118000188 | I | Family Practice | VA | 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 |
|---|---|---|---|---|
| 96372 | Injection of drug or substance under skin or into muscle | 28 | 18 | $0 |
| 71046 | X-ray of chest, 2 views | 13 | 12 | $0 |
Insurance plans in this area (ZIP 24605)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WV | |
| Family Practice | KY | |
| Family Practice | WV | |
| Nurse Practitioner | WV | |
| Nurse Practitioner | WV | |
| Physician Assistant | WV | |
| Nurse Practitioner | WV | |
| Physician Assistant | WV | |
| Nurse Practitioner | WV | |
| Nurse Practitioner | WV |
Reviews
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