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Active NPI 1487949616 Individual Practitioner Female Practitioner

Dr. Snow Petersen , MD, MPH

Surgery • Grants, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Snow Petersen, MD, MPH is a certified Surgery practicing in Grants, NM. With approximately 15 years of clinical experience since graduating from Tulane University School Of Medicine in 2011, Dr. Petersen delivers high-quality medical care to the local community at 1423 E ROOSEVELT AVE.

Dr. Petersen is affiliated with Cibola General Hospital Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of large bowel using an endoscope, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, diagnostic exam of large bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1423 E Roosevelt Ave

Grants, NM 870202245

Telephone 5052876500
Fax 5052875393
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Grants, NM

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs Matches City Avg
City Avg: 15.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Grants, NM (251 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
85.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petersen (15 Years) 15 Yrs
Grants 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
45380 Biopsy of large bowel using an endoscope
60 54 $1282.50 $167.86
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
32 32 $1137.75 $98.59
45378 Diagnostic exam of large bowel using a flexible endoscope
16 16 $585.63 $175.16

Medical Specialties & State Licenses

CMS Verified: 2025-07-28
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NM MD2020-0634

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

Cibola General Hospital Corporation

1016 E Roosevelt Ave, Grants, NM 870202118

Cibola General Hospital Corporation

1423 E Roosevelt Ave, Grants, NM 870202118

Phone: 5052876500

Practice Associates & Co-Workers

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

15 Associated Practitioners
NPI 1023850690

COMMUNITYHEALTHWOR

Sandra Suazo , CHW

Community Health Worker

NPI 1063280188
Vanessa Meza , CHW

Community Health Worker

NPI 1174391296
Jasmine Hobbs , CNP, ACNPC-AG

Nurse Practitioner - Acute Care

NPI 1184546939

Certified Nurse Practitioner, ACNPCAG

Keya Nkonoki

Community Health Worker

NPI 1285453498
Dr. Ann Church , MD

Obstetrics & Gynecology

NPI 1295700912

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 28, 2025

Registered at 1423 E ROOSEVELT AVE, GRANTS, NM 870202245 (Tel: 5052876500)

📍
Updated Business Mailing Address July 28, 2025

Registered at 1423 E ROOSEVELT AVE, GRANTS, NM 870202245 (Tel: 5052876500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2025

Surgery (License #MD2020-0634 in NM)

NPI Profile Active June 15, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2011

Registered at 1 ATWELL RD, COOPERSTOWN, NY 133261301 (Tel: 6075473456)

📍
Updated Business Mailing Address June 15, 2011

Registered at PO BOX 725, COOPERSTOWN, NY 133260725 (Tel: 6075473456)

👤
Provider Name / Credentials Updated June 15, 2011

Recorded as SNOW PETERSEN, M.D., M.P.H.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2011

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 15, 2011

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: 1487949616
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2011
Last Update: July 28, 2025
Sole Proprietor: No

Mailing Address

1423 E Roosevelt Ave

Grants, NM 870202245

Phone: 5052876500

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.