DR. MCKIM C PETERSON (M. D.) – Family Medicine Physician, NPI 1265549869

DR. MCKIM C PETERSON (M. D.) is a healthcare provider. based in Rockport, Maine. specializing in Family Medicine Physician. They hold the professional credentials M. D.. They hold a License No. 013075 (ME). The NPI Number for DR. MCKIM C PETERSON (M. D.) is 1265549869

Main info

Male
Name
DR. MCKIM C PETERSON (M. D.)
NPI
1265549869
Phone
(207) 236-2169
Address
195 UNION ST
Enumeration Date
23 August 2006
Last Update Date
24 March 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MCKIM C PETERSON (M. D.)

  • Union Street, Rockport, Knox County, Maine, 04843, United States

    MIDCOAST MEDICINE, PA

    ROCKPORT, ME 048566107

    Phone: (207) 236-2169

    Fax: (207) 230-0413

    Type: Location

  • Rockport Post Office, 1550, Enterprise Boulevard, Rockport, Aransas County, Texas, 78382, United States

    MIDCOAST MEDICINE, PA

    ROCKPORT, ME 048561079

    Phone: (207) 236-2169

    Fax: (207) 230-0413

    Type: Mailing

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.

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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.

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Medicare Utilization (FFS)

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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 04856)

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Reviews

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Frequently asked questions

How is DR. MCKIM C PETERSON (M. D.) identified in CMS data?
CMS-hosted NPPES data lists DR. MCKIM C PETERSON (M. D.) with NPI 1265549869.
Can I rely on DR. MCKIM C PETERSON (M. D.) being an active provider?
As of the registry snapshot, DR. MCKIM C PETERSON (M. D.) is marked active.
What is DR. MCKIM C PETERSON (M. D.)'s specialty?
The listing groups DR. MCKIM C PETERSON (M. D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MCKIM C PETERSON (M. D.)?
DR. MCKIM C PETERSON (M. D.)'s geographic hint is Rockport, Maine in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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