Active NPI 1134435209 Individual Practitioner Female Practitioner

Gloria Lynn Peterson , PA

Physician Assistant • Escanaba, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gloria Peterson, PA is a certified Physician Assistant practicing in Escanaba, MI. With approximately 16 years of clinical experience since completing medical education in 2010, Gloria Peterson delivers high-quality medical care to the local community at 610 S LINCOLN RD.

Gloria Peterson is affiliated with Foundations Health And Physical Medicine and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, 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

610 S Lincoln Rd

Escanaba, MI 498291215

Telephone 9067866488

Associated Practice Facility / Clinic

🏢 Bellin Memorial Hospital Inc Facility NPI 1245565878

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 Escanaba, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -4.8 yrs vs City Avg

City Avg: 20.8 Yrs

State Avg: 12.2 Yrs

Regional Practice Density

16 Specialists

Practicing in Escanaba, MI (7057 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (16 Years) 16 Yrs

Escanaba Specialty Average (20.8 Years) 20.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	25	$279.94	$103.13
99213 Established patient office or other outpatient visit, typically 15 minutes	30	14	$159.67	$73.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	313	166	$317.50	$103.49
36415 Insertion of needle into vein for collection of blood sample	231	136	$9.18	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	112	88	$221.53	$72.85
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	98	41	$67.00	$18.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	95	95	$137.21	$104.13
G0008 Administration of influenza virus vaccine	42	42	$68.76	$29.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	32	$426.85	$145.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	12	$63.00	$11.34
90662 Influenza vaccine split virus, preservative free	40	40	$131.00	$71.76
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	25	16	$166.00	$52.17
99496 Transitional care management services for problem of high complexity	14	14	$707.50	$222.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	409	214	$308.58	$103.35
36415 Insertion of needle into vein for collection of blood sample	204	140	$9.00	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	183	138	$212.25	$72.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	106	87	$32.00	$7.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	104	104	$131.73	$106.14
80053 Blood test, comprehensive group of blood chemicals	85	77	$43.02	$10.44
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	65	35	$65.42	$18.52
G0008 Administration of influenza virus vaccine	58	58	$66.00	$27.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	44	$414.33	$146.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	18	$63.00	$11.10
90662 Influenza vaccine split virus, preservative free	52	52	$130.19	$68.48
84443 Blood test, thyroid stimulating hormone (TSH)	52	49	$69.00	$16.59
83735 Magnesium level	48	44	$28.00	$6.61
80061 Blood test, lipids (cholesterol and triglycerides)	46	45	$67.00	$13.23
83036 Hemoglobin A1C level	27	27	$40.00	$9.61
80048 Blood test, basic group of blood chemicals (calcium, total)	26	21	$35.00	$8.38
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	25	17	$150.64	$53.31
81001 Manual urinalysis test with examination using microscope, automated	20	20	$13.00	$3.14
83880 Natriuretic peptide (heart and blood vessel protein) level	18	15	$140.00	$38.98
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	15	14	$127.00	$35.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	11	11	$170.00	$50.66
99495 Transitional care management services for problem of at least moderate complexity	11	11	$527.64	$167.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	313	184	$288.28	$106.42
99213 Established patient office or other outpatient visit, typically 15 minutes	247	187	$193.49	$74.80
36415 Insertion of needle into vein for collection of blood sample	123	103	$9.64	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	92	86	$31.41	$7.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	88	88	$126.76	$108.82
80053 Blood test, comprehensive group of blood chemicals	81	76	$41.74	$10.56
80061 Blood test, lipids (cholesterol and triglycerides)	60	58	$61.45	$13.39
G0008 Administration of influenza virus vaccine	51	51	$57.76	$16.13
90662 Influenza vaccine split virus, preservative free	46	46	$107.80	$62.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	43	23	$60.93	$18.33
84443 Blood test, thyroid stimulating hormone (TSH)	37	36	$66.97	$16.80
83036 Hemoglobin A1C level	30	27	$38.93	$9.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	30	$392.00	$149.67
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	28	25	$140.00	$35.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	13	$64.80	$11.54
81001 Manual urinalysis test with examination using microscope, automated	23	20	$13.00	$3.17
80048 Blood test, basic group of blood chemicals (calcium, total)	16	11	$33.50	$8.46
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	14	14	$29.00	$6.06
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	14	11	$161.71	$54.09
83735 Magnesium level	13	13	$27.38	$6.70
99495 Transitional care management services for problem of at least moderate complexity	12	12	$421.33	$168.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	352	212	$287.73	$88.88
99213 Established patient office or other outpatient visit, typically 15 minutes	242	180	$194.08	$61.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	94	94	$125.00	$95.15
G0008 Administration of influenza virus vaccine	54	53	$36.00	$16.08
90662 Influenza vaccine split virus, preservative free	49	48	$54.00	$53.96
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	38	25	$56.05	$18.63
99495 Transitional care management services for problem of at least moderate complexity	23	20	$437.83	$151.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	19	$388.00	$120.87
99442 Telephone medical discussion with physician, 11-20 minutes	20	18	$76.90	$60.29
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	18	11	$145.50	$54.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$115.82	$37.27
G0009 Administration of pneumococcal vaccine	16	16	$62.99	$16.06
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$175.00	$140.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	11	$68.00	$11.65
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	15	15	$27.27	$7.93
99443 Telephone medical discussion with physician, 21-30 minutes	14	14	$114.14	$79.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$211.57	$119.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	474	245	$283.23	$88.94
99213 Established patient office or other outpatient visit, typically 15 minutes	323	207	$192.01	$60.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$128.49	$94.43
G0008 Administration of influenza virus vaccine	58	58	$36.00	$15.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	27	$67.08	$13.49
90662 Influenza vaccine split virus, preservative free	50	50	$54.00	$52.88
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	43	43	$180.81	$139.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	39	25	$54.67	$18.24
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	39	24	$136.23	$53.67
94640 Inhalation treatment for airway obstruction or sputum production	30	30	$49.40	$14.21
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	29	29	$0.24	$0.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	24	$379.00	$119.39
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	28	27	$26.18	$7.86
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	23	13	$9.96	$6.20
99495 Transitional care management services for problem of at least moderate complexity	21	21	$435.10	$133.73
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	19	11	$350.74	$112.12
G0009 Administration of pneumococcal vaccine	18	18	$61.50	$15.78
99496 Transitional care management services for problem of high complexity	14	14	$613.21	$188.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	377	246	$186.97	$59.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	375	193	$274.98	$88.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	87	87	$126.09	$95.15
G0008 Administration of influenza virus vaccine	64	60	$34.50	$19.33
90662 Influenza vaccine split virus, preservative free	57	54	$52.77	$51.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	13	$72.80	$16.50
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	32	14	$52.44	$17.37
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	26	25	$25.27	$7.85
G0009 Administration of pneumococcal vaccine	24	24	$59.38	$19.33
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$183.14	$140.50
94640 Inhalation treatment for airway obstruction or sputum production	19	18	$52.58	$14.71
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	18	17	$0.91	$0.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$370.33	$119.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$419.00	$135.97
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$171.92	$136.43
90670 Pneumococcal vaccine for injection into muscle	13	13	$443.92	$197.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$217.09	$105.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	407	228	$184.51	$58.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	139	$271.60	$87.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	63	63	$129.60	$93.99
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	43	43	$240.74	$139.23
G0008 Administration of influenza virus vaccine	41	41	$20.00	$19.60
90662 Influenza vaccine split virus, preservative free	38	38	$40.00	$39.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	15	$73.50	$19.70
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	30	12	$50.93	$16.20
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	25	24	$24.20	$7.83
G0009 Administration of pneumococcal vaccine	23	23	$70.57	$23.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$365.67	$118.32
90670 Pneumococcal vaccine for injection into muscle	17	17	$473.00	$184.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$415.00	$134.92

Medical Specialties & State Licenses

CMS Verified: 2023-07-12

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601005854

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

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nccpa

1094325

Hospital & Practice Group Affiliations

Foundations Health And Physical Medicine

415 W Us Hwy 2, Norway, MI 498701175

Foundations Health And Physical Medicine

415 W Us Hwy 2, Norway, MI 498701175

Phone: 9065635800

Foundations Health And Physical Medicine

415 W Us Hwy 2, Norway, MI 498701175

Practice Associates & Co-Workers

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

23 Associated Practitioners

Dr. Andrew Wentzel , DO

Family Medicine

NPI 1063497204

Doctor of Osteopathic Medicine (D.O.)

Casey Young , RD

Dietitian, Registered

NPI 1093188351

Registered Dietitian

Mary Kidd , APNP

Nurse Practitioner - Family

NPI 1114481942

Advanced Practice Nurse Prescriber

Dr. Elizabeth Wilson , DO

Family Medicine

NPI 1144214842

Doctor of Osteopathic Medicine (D.O.)

John Gagnon , LMSW, CAC II

Social Worker - Clinical

NPI 1295715480

Licensed Master Social Worker, CACII

Dr. Tera Little , DPT

Physical Therapist

NPI 1346037702

Doctor of Physical Therapy

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) July 12, 2023

Physician Assistant

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2023

Physician Assistant (License #5601005854 in MI)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2023

Physician Assistant

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2022

Physician Assistant (License #5601005854 in MI)

📍

Updated Business Mailing Address January 06, 2021

Registered at PO BOX 22487, GREEN BAY, WI 543052487 (Tel: 9204457222)

✅

NPI Profile Active October 11, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 11, 2011

Registered at 610 S LINCOLN RD, ESCANABA, MI 498291215 (Tel: 9067866488)

📍

Updated Business Mailing Address October 11, 2011

Registered at 610 S LINCOLN RD, ESCANABA, MI 498291215 (Tel: 9067866488)

👤

Provider Name / Credentials Updated October 11, 2011

Recorded as GLORIA PETERSON, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2011

Physician Assistant

🟢

Initial NPI Registration & Enumeration August 26, 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: 1134435209

Entity Type:

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

Enumeration Date: August 26, 2010

Last Update: July 12, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 22487

Green Bay, WI 543052487

Phone: 9204457210

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.