DR. JON FREDRICK PETERSEN (M.D.) – Occupational Medicine Physician, NPI 1285621516

DR. JON FREDRICK PETERSEN (M.D.) is a healthcare provider. based in Decatur, Illinois. specializing in Occupational Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 036129728 (IL). The NPI Number for DR. JON FREDRICK PETERSEN (M.D.) is 1285621516

Main info

Male
Name
DR. JON FREDRICK PETERSEN (M.D.)
NPI
1285621516
Phone
(217) 464-1440
Address
1750 E LAKE SHORE DR
Enumeration Date
3 October 2005
Last Update Date
12 October 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JON FREDRICK PETERSEN (M.D.)

  • East Lake Shore Drive, Mueller Park, Decatur, Macon County, Illinois, 62525, United States

    DECATUR, IL 625213803

    Phone: (217) 464-1440

    Fax: (217) 464-1469

    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 47 Open Payments records for all available years, with a total value of $83,100.

Total Amount is formed as General ($83,100) + Research ($0) + Ownership ($0) = $83,100.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: CSL Plasma Inc. ($83,100).

Total Amount

$83,100

General + Research + Ownership

Payments

47

Total payment records

General Amount

$83,100

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

CompanyAmount
CSL Plasma Inc.$83,100
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62521)

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Reviews

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Frequently asked questions

What is DR. JON FREDRICK PETERSEN (M.D.)'s NPI number?
DR. JON FREDRICK PETERSEN (M.D.)'s NPI is 1285621516 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. JON FREDRICK PETERSEN (M.D.)?
You should see DR. JON FREDRICK PETERSEN (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. JON FREDRICK PETERSEN (M.D.)?
DR. JON FREDRICK PETERSEN (M.D.)'s specialty line reads Occupational Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JON FREDRICK PETERSEN (M.D.) associated with Decatur?
Public fields place DR. JON FREDRICK PETERSEN (M.D.) around Decatur, Illinois. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. JON FREDRICK PETERSEN (M.D.) is noted as October 3, 2005 where the registry provides it.

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