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Dr. Kevin Thomas Petersen , DO

Surgery β€’ Pensacola, FL

Active NPI 1356778419 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

220 Hovey Rd Fl 32508
Pensacola, FL 325081044

Call 8504529484 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

220 Hovey Rd Fl 32508

Pensacola, FL 325081044

Telephone 8504529484
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Unlv Medicine. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of New England, College Of Osteo Medicine

Graduation Year

2013

Open Payments general payments, program year 2025

All general payments: $370.12 across 4 records.

By nature of payment

  • Food and Beverage: $370.12 across 4 records.

Reporting-company totals

  • Teleflex LLC: $231.87 across 2 records.
  • Zimmer Biomet Holdings, Inc.: $138.25 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

13 years (graduated 2013)

CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Petersen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Petersen as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Pensacola and Florida

34 active clinicians are listed under Surgery with a practice address in Pensacola, FL (1,888 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pensacola

2.9% of these 34 clinicians have the CMS telehealth indicator.

64.7% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $370.12.

Manufacturer Payment Nature Product Type Amount ($)
Teleflex LLC
Food and Beverage
In-kind items and services
QUIKCLOT General $145.30
Teleflex LLC
Food and Beverage
In-kind items and services
QUIKCLOT General $86.57
Zimmer Biomet Holdings, Inc.
Food and Beverage
In-kind items and services
RIBFIX TITAN General $73.00
Zimmer Biomet Holdings, Inc.
Food and Beverage
In-kind items and services
RIBFIX TITAN General $65.25

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-30
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES NV DO3578

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

License # reported to NPPES NY 294233

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20240821001320

Enrollment State Jurisdiction

NV

PECOS Control ID

8426389495

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Unlv Medicine

1707 W Charleston Blvd, Las Vegas, NV 891022354

Phone: 7026715150

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Jason Henry , MD

Radiology - Diagnostic Radiology

NPI 1932188174

Doctor of Medicine (M.D.)

Terence Mcadoo

Military Health Care Provider

NPI 1891250106
Dr. Andrew Medenbach , DO

Emergency Medicine

NPI 1033560354

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location July 30, 2025

Registered at 220 HOVEY RD FL 32508, PENSACOLA, FL 325081044 (Tel: 8504529484)

πŸ“
Updated Business Mailing Address July 30, 2025

Registered at 220 HOVEY RD FL 32508, PENSACOLA, FL 325081044

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2025

Surgery (license number reported to NPPES: NV DO3578)

πŸ“
Updated Practice Location May 23, 2024

Registered at 1707 W CHARLESTON BLVD STE 160, LAS VEGAS, NV 891022354 (Tel: 7026715150)

πŸ“
Updated Business Mailing Address May 23, 2024

Registered at 3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 891021973 (Tel: 7027807118)

πŸ“
Updated Practice Location September 16, 2019

Registered at 620 JOHN PAUL JONES CIR DEPT GENERAL, PORTSMOUTH, VA 237082197 (Tel: 7579532544)

πŸ“
Updated Business Mailing Address September 16, 2019

Registered at 620 JOHN PAUL JONES CIR DEPT GENERAL, PORTSMOUTH, VA 237082197

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2019

Surgery (license number reported to NPPES: NY 294233)

βœ…
NPI Profile Active October 03, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 03, 2013

Registered at 703 MAIN ST, PATERSON, NJ 075032621 (Tel: 9737542671)

πŸ“
Business Mailing Address (Initial Record) October 03, 2013

Registered at 703 MAIN ST, PATERSON, NJ 075032621 (Tel: 9737542671)

πŸ‘€
Provider Name / Credentials (Initial Record) October 03, 2013

Recorded as KEVIN PETERSEN, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2013

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration October 03, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356778419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2013
Last Update: July 30, 2025
Sole Proprietor: No

Other Surgery Specialists in Pensacola

All Surgery Specialists in Pensacola

Mailing Address

220 Hovey Rd Fl 32508

Pensacola, FL 325081044

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.