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Active NPI 1912986555 Individual Practitioner Male Practitioner

Dr. Scott Richard Petersen , MD

Surgery - Trauma Surgery • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Scott Petersen, MD is a registered healthcare professional specializing in Surgery - Trauma Surgery in Phoenix, AZ. Practice services are available at 500 W THOMAS RD under active NPI credentials.

Frequently performed procedures and clinical services include critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

500 W Thomas Rd
Suite 400

Phoenix, AZ 850134224

Telephone 6024063157
Fax 6024064113
Associated Practice Facility / Clinic
🏢 Affiliated Urologists, Ltd Facility NPI 1194721530

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Trauma Surgery in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
19 Specialists

Practicing in Phoenix, AZ (39 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
61 17 $639.00 $220.51

Medical Specialties & State Licenses

Surgery - Trauma Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0127X

State License AZ 14414

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Surgery

NUCC Taxonomy Code: 208600000X

State License AZ 14414

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 - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

State License AZ 14414

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
231720 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Moustafa Hazin , DO

Internal Medicine

NPI 1003098161

Doctor of Osteopathic Medicine (D.O.)

NPI 1033342712

Doctor of Medicine (M.D.)

Dr. Leonard Bodell , MD

Orthopaedic Surgery - Hand Surgery

NPI 1053365528

Doctor of Medicine (M.D.)

Leonora Renda , RDN

Dietitian, Registered

NPI 1053646661

Registered Dietitian Nutritionist

Sara Brenza , FNP-BC

Nurse Practitioner - Family

NPI 1063936219

Family Nurse Practitioner (Board Certified)

Darlene Salas , ANP

Nurse Practitioner - Adult Health

NPI 1083645030

Adult Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2012

Registered at 500 W THOMAS RD, SUITE 400, PHOENIX, AZ 850134224 (Tel: 6024063157)

📍
Updated Business Mailing Address July 19, 2012

Registered at FILE 56765, LOS ANGELES, CA 900746765 (Tel: 6024063860)

👤
Provider Name / Credentials Updated July 19, 2012

Recorded as SCOTT PETERSEN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2012

Surgery (License #14414 in AZ)

🟢
Initial NPI Registration & Enumeration January 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912986555
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2006
Last Update: July 19, 2012
Sole Proprietor: No

Mailing Address

File 56765

Los Angeles, CA 900746765

Phone: 6024063860

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.