JON T PETERSON (M.D.) – Emergency Medicine Physician, NPI 1407870975

JON T PETERSON (M.D.) is a healthcare provider. based in Martinsville, Virginia. specializing in EMERGENCY MEDICINE, PREVENTIVE MEDICINE. They hold the professional credentials M.D.. They hold a License No. 0101052027 (VA). The NPI Number for JON T PETERSON (M.D.) is 1407870975

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
JON T PETERSON (M.D.)
NPI
1407870975
Phone
(276) 638-2273
Address
2871 GREENSBORO RD
Enumeration Date
27 July 2006
Last Update Date
22 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2766382273
Graduation Year
1978 (48 years ago)
PAC ID
7416938956
Group Practice PAC ID
5294873378
Professional Enrollment ID
I20040528001062
Address ID
VA241128108MA2871XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,497 EMERGENCY MEDICINE in VA

Provider Addresses for JON T PETERSON (M.D.)

  • 2871 GREENSBORO RD

    MARTINSVILLE, VA 241128108

    Phone: (276) 638-2273

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: ABBVIE INC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$17
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: 2025-10-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040528001062IPreventive MedicineVATBD
I20251021000102ISingle Or Multispecialty Clinic Or Group PracticeVATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes829470$0
87804Detection test by immunoassay with direct visual observation for influenza virus735309$0
J0696Injection, ceftriaxone sodium, per 250 mg41079$0
U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc392323$0
J1100Injection, dexamethasone sodium phosphate, 1 mg33140$0
View full utilization report →

Insurance plans in this area (ZIP 24112)

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Provider's Procedures

JON T PETERSON (M.D.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PREVENTATIVE MEDICINEVA73562X-ray of knee, 3 views3733
PREVENTATIVE MEDICINEVA73630X-ray of foot, minimum of 3 views2726

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: 5294873378View full group profile
NameSpecialtyState
Physician AssistantVA
Nurse PractitionerVA
-VA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerNC

Reviews

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Frequently asked questions

How do I look up JON T PETERSON (M.D.) by NPI?
Use NPI 1407870975 when you need to reference JON T PETERSON (M.D.) in forms, claims, or directories.
Does this profile mean JON T PETERSON (M.D.) is currently active?
Yes — JON T PETERSON (M.D.) appears active in the national provider directory.
What field does JON T PETERSON (M.D.) work in?
You can think of JON T PETERSON (M.D.) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JON T PETERSON (M.D.)'s primary listing?
We display Martinsville, Virginia because that is what the record indicates for JON T PETERSON (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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