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Active NPI 1720388218 Individual Practitioner Male Practitioner

Timothy Warren Peterson , PA-C

Physician Assistant • Union, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Timothy Peterson, PA-C is a certified Physician Assistant practicing in Union, KY. With approximately 16 years of clinical experience since completing medical education in 2010, Timothy Peterson delivers high-quality medical care to the local community at 605 MAN O WAR BOULEVARD.

Timothy Peterson is affiliated with Summit Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, new 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

605 Man O War Boulevard

Union, KY 410912007

Telephone 8595785669
Fax 8593840091
Associated Practice Facility / Clinic
🏢 Summit Medical Group, Inc. Facility NPI 1063349330

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Union, KY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +1.0 yrs vs City Avg
City Avg: 15.0 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Union, KY (1973 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (16 Years) 16 Yrs
Union Specialty Average (15.0 Years) 15.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
58 56 $843.00 $140.90
99284 Emergency department visit with moderate level of medical decision making
35 34 $582.00 $98.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
31 31 $260.00 $91.83
99213 Established patient office or other outpatient visit, typically 15 minutes
23 23 $210.00 $74.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 14 $298.00 $105.67

Medical Specialties & State Licenses

CMS Verified: 2026-08-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA1799

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IN 10001496A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100252800 (KY)

Hospital & Practice Group Affiliations

Summit Medical Group Inc

334 Thomas More Pkwy, Crestview Hills, KY 410173496

Phone: 8593443737

Summit Medical Group Inc

1400 Grand Ave, Newport, KY 410712570

Phone: 8593015901

Summit Medical Group Inc

405 Violet Rd, Crittenden, KY 410308956

Phone: 8593015901

Summit Medical Group Inc

2626 Alexandria Pike, Highland Heights, KY 410761530

Phone: 8593015901

Summit Medical Group Inc

300 Barnes Rd, Williamstown, KY 410979483

Phone: 8598248400

Secondary Practice Locations

405 Violet Rd

Crittenden, KY 410308956

Phone: 8599030268

1640 Flossie Dr

Greendale, IN 470258424

Phone: 8124963285

Practice Associates & Co-Workers

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

3 Associated Practitioners
Lauren Jones , APRN

Nurse Practitioner

NPI 1174772628

Advanced Practice Registered Nurse

Jared Patton , PA-C

Physician Assistant

NPI 1194004515

Physician Assistant (Certified)

Christi Strole , PA-C

Physician Assistant

NPI 1235480856

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2026

Physician Assistant (License #10001496A in IN)

📍
Updated Practice Location October 27, 2025

Registered at 605 MAN O WAR BOULEVARD, UNION, KY 410912007 (Tel: 8595785669)

📍
Updated Practice Location August 06, 2025

Registered at 405 VIOLET RD, CRITTENDEN, KY 410308956 (Tel: 8599030268)

📍
Updated Business Mailing Address August 06, 2025

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8599030268)

👤
Provider Name / Credentials Updated August 06, 2025

Recorded as TIMOTHY PETERSON, PA-C

NPI Profile Active July 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2015

Registered at 85 N GRAND AVE, FORT THOMAS, KY 410751793 (Tel: 8595723617)

📍
Updated Business Mailing Address July 30, 2015

Registered at PO BOX 18667, ERLANGER, KY 410180667 (Tel: 8595723617)

👤
Provider Name / Credentials Updated July 30, 2015

Recorded as TIMOTHY PETERSON, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2015

Physician Assistant (License #PA1799 in KY)

🟢
Initial NPI Registration & Enumeration October 30, 2010

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: 1720388218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2010
Last Update: August 03, 2026
Sole Proprietor: No

Mailing Address

Po Box 635283

Cincinnati, OH 452635283

Phone: 8595785669

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.