Active NPI 1427084318 Individual Practitioner Male Practitioner

Dr. Paul David Peterson , MD

Orthopaedic Surgery • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Dr. Paul Peterson, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Tulsa, OK. Practice services are available at 4812 S 109TH EAST AVE under active NPI credentials.

Frequently performed procedures and clinical services include hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4812 S 109th East Ave
Suite 300

Tulsa, OK 741465826

Telephone 9183921400

Fax 9182364587

Associated Practice Facility / Clinic

🏢 Tulsa Bone & Joint Associates Pc Facility NPI 1154373132

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Tulsa, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.5 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

54 Specialists

Practicing in Tulsa, OK (328 Statewide)

Telehealth Adoption Rate

3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.7% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,488	22	$40.00	$10.75
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	576	11	$37.50	$17.96
20610 Aspiration and/or injection of fluid from large joint	296	187	$150.60	$65.07
J1040 Injection, methylprednisolone acetate, 80 mg	185	121	$23.00	$10.64
99213 Established patient office or other outpatient visit, typically 15 minutes	176	136	$130.00	$85.63
73564 X-ray of knee, 4 or more views	174	124	$78.09	$41.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	154	$193.00	$120.07
J1030 Injection, methylprednisolone acetate, 40 mg	115	50	$15.00	$5.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$297.00	$156.61
73030 X-ray of shoulder, minimum of 2 views	62	48	$56.00	$31.42
73502 X-ray of hip, 2-3 views	52	48	$84.00	$42.65
27447 Replacement of knee joint, both sides of knee	36	34	$3069.00	$1231.52
73562 X-ray of knee, 3 views	31	26	$67.00	$36.95
93000 Routine ekg using at least 12 leads including interpretation and report	26	26	$75.00	$13.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$78.00	$52.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$193.00	$101.17
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$67.00	$36.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	2,144	31	$37.50	$18.42
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,016	29	$40.00	$10.81
J1030 Injection, methylprednisolone acetate, 40 mg	690	213	$15.00	$5.98
20610 Aspiration and/or injection of fluid from large joint	500	269	$149.61	$63.84
99213 Established patient office or other outpatient visit, typically 15 minutes	307	259	$130.00	$70.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	199	163	$78.00	$42.60
73564 X-ray of knee, 4 or more views	143	119	$79.00	$39.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$193.00	$101.56
73030 X-ray of shoulder, minimum of 2 views	94	75	$56.00	$28.13
73562 X-ray of knee, 3 views	84	74	$66.31	$35.50
73502 X-ray of hip, 2-3 views	81	71	$84.00	$41.42
J1040 Injection, methylprednisolone acetate, 80 mg	46	36	$23.00	$11.55
27447 Replacement of knee joint, both sides of knee	43	43	$3069.00	$1329.66
93000 Routine ekg using at least 12 leads including interpretation and report	35	34	$75.00	$16.00
72100 X-ray of lower and sacral spine, 2-3 views	22	22	$67.00	$35.08
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$133.00	$72.18
73080 X-ray of elbow, minimum of 3 views	17	12	$61.00	$28.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	17	$68.12	$21.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$297.00	$157.54
73721 Mri scan of leg joint without contrast	13	13	$994.00	$210.70
29881 Removal of knee cartilage using an endoscope	12	12	$1298.00	$498.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	3,025	41	$40.00	$11.31
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	2,976	52	$37.50	$18.21
20610 Aspiration and/or injection of fluid from large joint	545	279	$146.34	$61.21
J1040 Injection, methylprednisolone acetate, 80 mg	315	183	$23.00	$12.07
99213 Established patient office or other outpatient visit, typically 15 minutes	308	268	$130.00	$70.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	259	185	$78.00	$42.26
J1030 Injection, methylprednisolone acetate, 40 mg	245	88	$15.00	$6.11
73564 X-ray of knee, 4 or more views	188	160	$79.00	$38.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	153	153	$193.00	$101.72
73502 X-ray of hip, 2-3 views	127	94	$84.00	$39.07
73562 X-ray of knee, 3 views	104	83	$66.45	$33.05
73030 X-ray of shoulder, minimum of 2 views	87	72	$56.00	$27.94
27447 Replacement of knee joint, both sides of knee	49	46	$3069.00	$1339.44
93000 Routine ekg using at least 12 leads including interpretation and report	43	43	$36.86	$15.79
73630 X-ray of foot, minimum of 3 views	34	21	$57.00	$28.87
73610 X-ray of ankle, minimum of 3 views	30	15	$60.00	$30.79
27130 Replacement of thigh bone and hip joint with prosthesis	27	26	$3069.00	$1340.05
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	25	$75.00	$50.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	23	$36.00	$21.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$297.00	$153.04
73721 Mri scan of leg joint without contrast	21	21	$994.00	$215.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$193.00	$103.97
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$133.00	$72.65
72100 X-ray of lower and sacral spine, 2-3 views	17	17	$67.00	$33.86
29881 Removal of knee cartilage using an endoscope	16	15	$1298.00	$465.07
73130 X-ray of hand, minimum of 3 views	15	13	$59.00	$30.77
29827 Repair of shoulder rotator cuff using an endoscope	15	15	$2040.00	$918.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,928	39	$40.00	$11.81
Q9993 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	544	12	$37.50	$18.58
20610 Aspiration and/or injection of fluid from large joint	505	285	$152.40	$61.58
J1040 Injection, methylprednisolone acetate, 80 mg	455	243	$23.00	$12.79
99213 Established patient office or other outpatient visit, typically 15 minutes	372	310	$130.00	$68.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	311	243	$78.00	$40.72
73564 X-ray of knee, 4 or more views	225	179	$79.00	$36.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	192	192	$193.00	$101.54
73562 X-ray of knee, 3 views	139	112	$67.00	$31.93
73502 X-ray of hip, 2-3 views	131	106	$84.00	$37.27
73030 X-ray of shoulder, minimum of 2 views	87	71	$56.00	$26.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	59	55	$75.00	$50.68
J1030 Injection, methylprednisolone acetate, 40 mg	59	21	$15.00	$6.57
27447 Replacement of knee joint, both sides of knee	59	57	$3069.00	$1267.25
93000 Routine ekg using at least 12 leads including interpretation and report	55	52	$35.00	$15.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$297.00	$156.96
72100 X-ray of lower and sacral spine, 2-3 views	38	38	$67.00	$32.19
73610 X-ray of ankle, minimum of 3 views	36	19	$60.00	$28.83
73630 X-ray of foot, minimum of 3 views	30	19	$57.00	$26.97
27130 Replacement of thigh bone and hip joint with prosthesis	27	27	$3069.00	$1325.03
73721 Mri scan of leg joint without contrast	26	26	$994.00	$210.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$193.00	$102.23
73110 X-ray of wrist, minimum of 3 views	20	11	$67.00	$31.97
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$133.00	$70.68
29881 Removal of knee cartilage using an endoscope	19	19	$1298.00	$522.76
72148 MRI scan of lower spinal canal	17	17	$1008.00	$207.04
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	15	$36.00	$20.02
72170 X-ray of pelvis, 1-2 views	16	15	$61.00	$27.29
29827 Repair of shoulder rotator cuff using an endoscope	14	14	$2040.00	$1024.50
73560 X-ray of knee, 1-2 views	11	11	$52.58	$26.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,928	43	$40.00	$12.29
20610 Aspiration and/or injection of fluid from large joint	391	233	$146.16	$57.77
J1040 Injection, methylprednisolone acetate, 80 mg	340	190	$23.00	$10.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	314	210	$78.00	$39.20
99213 Established patient office or other outpatient visit, typically 15 minutes	246	220	$130.00	$66.52
73564 X-ray of knee, 4 or more views	191	157	$79.00	$33.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	176	176	$193.00	$98.53
73502 X-ray of hip, 2-3 views	133	104	$82.90	$36.33
73562 X-ray of knee, 3 views	125	96	$67.00	$30.66
73030 X-ray of shoulder, minimum of 2 views	96	66	$55.51	$25.10
27447 Replacement of knee joint, both sides of knee	47	44	$3069.00	$1214.96
93000 Routine ekg using at least 12 leads including interpretation and report	45	45	$35.00	$14.79
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	39	$75.00	$49.16
J1030 Injection, methylprednisolone acetate, 40 mg	39	23	$15.00	$5.80
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$133.00	$68.43
72100 X-ray of lower and sacral spine, 2-3 views	26	26	$67.00	$31.19
73610 X-ray of ankle, minimum of 3 views	25	14	$60.00	$27.87
27130 Replacement of thigh bone and hip joint with prosthesis	22	21	$3069.00	$1280.96
29881 Removal of knee cartilage using an endoscope	20	20	$1298.00	$468.26
73721 Mri scan of leg joint without contrast	17	17	$994.00	$203.48
72170 X-ray of pelvis, 1-2 views	16	16	$61.00	$28.18
77080 Dxa bone density measurement of hip, pelvis, spine	14	14	$120.00	$36.09
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	13	$36.00	$18.14
73560 X-ray of knee, 1-2 views	13	13	$53.25	$25.78
73630 X-ray of foot, minimum of 3 views	13	12	$57.00	$25.77
72148 MRI scan of lower spinal canal	12	12	$1008.00	$193.74
73521 X-ray of both hips, 2 views	11	11	$81.00	$35.10

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OK 17851

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100173870A (OK)

Commercial Insurance / Payer ID Cigna

7822481

Commercial Insurance / Payer ID Aetna

4207831

Practice Associates & Co-Workers

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

40 Associated Practitioners

Ashley Westerman

Nurse Anesthetist, Certified Registered

NPI 1003164716

Dr. Wesley Stotler , DO

Orthopaedic Surgery - Foot and Ankle Surgery

NPI 1013984251

Doctor of Osteopathic Medicine (D.O.)

Braxton Huckabee , CNP

Nurse Practitioner - Acute Care

NPI 1023772696

Certified Nurse Practitioner

Dr. Brian Lovelace , MD

Orthopaedic Surgery

NPI 1043359813

Doctor of Medicine (M.D.)

Dr. Addison Wood , DO, PhD

Orthopaedic Surgery

NPI 1053843995

Doctor of Osteopathic Medicine (D.O.), Doctor of Philosophy (Ph.D.)

Tyler Wilcox

Physician Assistant

NPI 1063130144

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 10, 2017

Registered at 4812 S 109TH EAST AVE, SUITE 300, TULSA, OK 741465826 (Tel: 9183921400)

📍

Updated Business Mailing Address February 10, 2017

Registered at 4802 S 109TH EAST AVE, TULSA, OK 741465822 (Tel: 9183921400)

👤

Provider Name / Credentials Updated February 10, 2017

Recorded as PAUL PETERSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Orthopaedic Surgery (License #17851 in OK)

✅

NPI Profile Active November 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2016

Registered at 4812 S 109TH EAST AVE, SUITE 300, TULSA, OK 741465826 (Tel: 9182364580)

📍

Updated Business Mailing Address November 14, 2016

Registered at 4802 S 109TH EAST AVE, TULSA, OK 741465822 (Tel: 9183921400)

👤

Provider Name / Credentials Updated November 14, 2016

Recorded as PAUL PETERSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2016

Orthopaedic Surgery (License #17851 in OK)

🟢

Initial NPI Registration & Enumeration June 23, 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: 1427084318

Entity Type:

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

Enumeration Date: June 23, 2006

Last Update: February 10, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4802 S 109th East Ave

Tulsa, OK 741465822

Phone: 9183921400

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.