Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356778419 Individual Practitioner Male Practitioner

Dr. Kevin Thomas Petersen , DO

Surgery • Pensacola, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Petersen, DO is a certified Surgery practicing in Pensacola, FL. With approximately 13 years of clinical experience since graduating from University Of New England, College Of Osteo Medicine in 2013, Dr. Petersen delivers high-quality medical care to the local community at 220 HOVEY RD FL 32508.

Dr. Petersen is affiliated with Unlv Medicine and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

220 Hovey Rd Fl 32508

Pensacola, FL 325081044

Telephone 8504529484

Medicare Profile & Education

Medical School

University Of New England, College Of Osteo Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Pensacola, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -13.7 yrs vs City Avg
City Avg: 26.7 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
37 Specialists

Practicing in Pensacola, FL (2030 Statewide)

Telehealth Adoption Rate
2.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petersen (13 Years) 13 Yrs
Pensacola Specialty Average (26.7 Years) 26.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-30
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License 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

State License 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.

Hospital & Practice Group Affiliations

Unlv Medicine

1707 W Charleston Blvd, Las Vegas, NV 891022354

Phone: 7026715150

Practice Associates & Co-Workers

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

34 Associated Practitioners
Dr. Andrew Medenbach , DO

Emergency Medicine

NPI 1033560354

Doctor of Osteopathic Medicine (D.O.)

Dr. Warren Ross , MD

Radiology - Diagnostic Radiology

NPI 1083035372

Doctor of Medicine (M.D.)

NPI 1083316608

Doctor of Medicine (M.D.)

Clark Noble

Psychiatry & Neurology - Psychiatry

NPI 1114582574
NPI 1164624318

PHYSICIANASSISTANT

Sharon Hoff , FNP-C

Nurse Practitioner - Family

NPI 1184887952

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location July 30, 2025

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

📍
Updated Business Mailing Address July 30, 2025

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

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

Surgery (License #DO3578 in NV)

📍
Updated Practice Location May 23, 2024

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

📍
Updated Business Mailing Address May 23, 2024

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

📍
Updated Practice Location September 16, 2019

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

📍
Updated Business Mailing Address September 16, 2019

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

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

Surgery (License #294233 in NY)

NPI Profile Active October 03, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2013

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

📍
Updated Business Mailing Address October 03, 2013

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

👤
Provider Name / Credentials Updated October 03, 2013

Recorded as KEVIN PETERSEN, D.O.

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

220 Hovey Rd Fl 32508

Pensacola, FL 325081044

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.