Active NPI 1225105604 Individual Practitioner Male Practitioner

Joseph R Petersen

Specialist • Burley, ID

Professional Overview & Biography Verified Profile Summary

Joseph Petersen is a registered healthcare professional specializing in Specialist in Burley, ID. Practice services are available at 1344 HILAND AVE STE A under active NPI credentials.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1344 Hiland Ave Ste A

Burley, ID 833181564

Telephone 2086781138

Fax 2086785833

Associated Practice Facility / Clinic

🏢 Joseph R. Petersen, M.d. Facility NPI 1790956514

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Burley, ID

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 35.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Burley, ID (194 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

31.9% 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 (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	229	51	$3.95	$1.63
20610 Aspiration and/or injection of fluid from large joint	131	48	$77.00	$46.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	40	$50.00	$40.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	450	81	$3.97	$1.80
20610 Aspiration and/or injection of fluid from large joint	219	71	$78.99	$47.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	215	115	$50.60	$39.58
72020 X-ray of spine, 1 view	34	34	$26.76	$19.85
72170 X-ray of pelvis, 1-2 views	18	16	$37.89	$28.28
73560 X-ray of knee, 1-2 views	15	14	$30.00	$27.57
73020 X-ray of shoulder, 1 view	13	11	$24.80	$20.38
73565 X-ray of both knees while standing	11	11	$33.00	$31.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	912	16	$14.00	$12.33
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	448	105	$3.96	$1.77
20610 Aspiration and/or injection of fluid from large joint	233	92	$82.60	$49.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	216	119	$51.16	$39.06
72020 X-ray of spine, 1 view	35	32	$32.86	$19.20
73560 X-ray of knee, 1-2 views	30	26	$32.17	$27.16
72170 X-ray of pelvis, 1-2 views	26	19	$45.00	$28.10
99201 New patient office or other outpatient visit, typically 10 minutes	17	17	$48.03	$39.24
73565 X-ray of both knees while standing	16	16	$42.63	$31.52
20600 Aspiration and/or injection of fluid from small joint	13	12	$57.54	$41.70

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License ID M5283

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Shield Provider No.

000010003563 (ID)

Commercial Insurance / Payer ID Dmba

C36979 (ID)

Commercial Insurance / Payer ID Selectcare

014917 (ID)

Commercial Insurance / Payer ID Tricare

I000490 (ID)

Commercial Insurance / Payer ID Blue Cross Provider Numbe

74096 (ID)

Commercial Insurance / Payer ID Medicare Dmerc

0791870001 (ID)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Walter Petersen , MD

General Practice

NPI 1164711586

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 1344 HILAND AVE STE A, BURLEY, ID 833181564 (Tel: 2086781138)

📍

Updated Business Mailing Address July 09, 2007

Registered at 1344 HILAND AVE STE A, P. O. BOX 1263, BURLEY, ID 833181564 (Tel: 2086781138)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as JOSEPH PETERSEN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #M5283 in ID)

🟢

Initial NPI Registration & Enumeration November 29, 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: 1225105604

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 29, 2006

Last Update: July 09, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1344 Hiland Ave Ste A, P. O. Box 1263

Burley, ID 833181564

Phone: 2086781138

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.