Active NPI 1861693095 Individual Practitioner Male Practitioner

Dr. Brian Walter Petersen , DO

Orthopaedic Surgery • Manchester, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Petersen, DO is a certified Orthopaedic Surgery practicing in Manchester, TN. With approximately 22 years of clinical experience since graduating from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2004, Dr. Petersen delivers high-quality medical care to the local community at 482 INTERSTATE DR STE 102.

Dr. Petersen maintains professional affiliations with Coffee County Hospital Group Inc, Coffee Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, injection, ketorolac tromethamine, per 15 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

482 Interstate Dr Ste 102

Manchester, TN 373553485

Telephone 9314888700

Fax 9317356456

Medicare Profile & Education

Medical School

At Still University Of Health Sciences, College Of Osteo Med, Kirksville

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Manchester, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs Matches City Avg

City Avg: 22.0 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

2 Specialists

Practicing in Manchester, TN (509 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petersen (22 Years) 22 Yrs

Manchester Specialty Average (22.0 Years) 22.0 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,744	229	$8.04	$0.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	606	289	$309.27	$115.79
J1885 Injection, ketorolac tromethamine, per 15 mg	368	73	$3.65	$0.62
99213 Established patient office or other outpatient visit, typically 15 minutes	300	168	$212.37	$81.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	216	107	$99.09	$12.49
20610 Aspiration and/or injection of fluid from large joint	211	145	$317.22	$63.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	141	141	$467.52	$150.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	80	76	$585.81	$159.41
73502 X-ray of hip, 2-3 views	62	33	$188.23	$34.53
73030 X-ray of shoulder, minimum of 2 views	52	35	$145.17	$30.22
73562 X-ray of knee, 3 views	46	41	$211.30	$36.46
73610 X-ray of ankle, minimum of 3 views	32	13	$144.36	$27.15
73130 X-ray of hand, minimum of 3 views	25	14	$167.46	$26.58
20550 Injection into tendon or ligament	22	15	$234.14	$44.10
20605 Aspiration and/or injection of medium joint or joint capsule	19	15	$246.20	$44.01
23412 Repair of chronic torn shoulder rotator cuff	19	19	$3584.90	$694.32
29824 Partial removal of collar bone at shoulder using an endoscope	18	18	$2819.37	$279.38
20610 Aspiration and/or injection of fluid from large joint	16	13	$210.65	$35.92
72100 X-ray of lower and sacral spine, 2-3 views	16	15	$158.31	$35.54
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	15	12	$48.82	$22.11
29075 Application of elbow to finger cast	14	12	$358.70	$75.41
23430 Anchoring of biceps tendon	14	14	$3093.66	$316.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$304.65	$101.53
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$5209.61	$1097.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	9,408	15	$9.90	$0.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,199	171	$8.04	$1.08
99213 Established patient office or other outpatient visit, typically 15 minutes	556	234	$212.37	$83.31
J1885 Injection, ketorolac tromethamine, per 15 mg	318	51	$3.65	$0.54
20610 Aspiration and/or injection of fluid from large joint	204	127	$321.65	$64.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	148	67	$100.43	$13.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$304.65	$102.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	63	$309.27	$117.42
73030 X-ray of shoulder, minimum of 2 views	70	47	$147.05	$30.77
73562 X-ray of knee, 3 views	62	56	$193.35	$37.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	58	$397.65	$121.37
73502 X-ray of hip, 2-3 views	52	26	$187.43	$40.72
73610 X-ray of ankle, minimum of 3 views	29	14	$144.36	$33.48
20610 Aspiration and/or injection of fluid from large joint	27	17	$237.97	$37.41
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	24	11	$517.49	$104.19
73110 X-ray of wrist, minimum of 3 views	18	14	$196.02	$37.02
77002 Fluoroscopic guidance for needle placement	17	13	$425.70	$25.26
72100 X-ray of lower and sacral spine, 2-3 views	17	15	$151.92	$36.30
20605 Aspiration and/or injection of medium joint or joint capsule	17	15	$222.75	$42.96
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$5220.19	$1113.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	7,392	13	$9.90	$1.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,596	146	$8.17	$1.14
99213 Established patient office or other outpatient visit, typically 15 minutes	431	210	$201.71	$83.97
J1885 Injection, ketorolac tromethamine, per 15 mg	164	32	$3.65	$0.58
20610 Aspiration and/or injection of fluid from large joint	143	104	$366.01	$64.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$395.20	$103.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	70	$290.63	$117.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	41	$99.09	$13.30
73562 X-ray of knee, 3 views	74	52	$174.85	$37.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	55	$549.53	$125.93
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	38	18	$527.16	$105.32
73030 X-ray of shoulder, minimum of 2 views	37	24	$139.95	$31.91
73502 X-ray of hip, 2-3 views	29	26	$174.49	$43.39
72100 X-ray of lower and sacral spine, 2-3 views	23	19	$171.59	$36.84
20605 Aspiration and/or injection of medium joint or joint capsule	19	14	$266.96	$50.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$443.32	$156.91
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$6026.87	$1177.09
99283 Emergency department visit with low level of medical decision making	15	14	$206.63	$67.78
73110 X-ray of wrist, minimum of 3 views	14	11	$167.79	$37.69
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$5212.63	$1127.21
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$418.95	$93.91
27447 Replacement of knee joint, both sides of knee	12	12	$6420.32	$1176.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	8,400	13	$9.90	$2.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,419	106	$8.13	$1.26
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,376	18	$84.97	$17.91
99213 Established patient office or other outpatient visit, typically 15 minutes	300	156	$210.96	$85.03
20610 Aspiration and/or injection of fluid from large joint	135	84	$415.62	$64.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	97	$302.55	$120.24
J1885 Injection, ketorolac tromethamine, per 15 mg	113	22	$3.65	$0.46
73562 X-ray of knee, 3 views	85	60	$162.22	$37.13
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	65	26	$585.55	$110.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$456.98	$104.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	59	32	$99.09	$12.90
73030 X-ray of shoulder, minimum of 2 views	51	36	$137.30	$31.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$465.33	$155.03
73502 X-ray of hip, 2-3 views	39	31	$170.37	$42.88
99221 Initial hospital inpatient care per day, typically 30 minutes	33	32	$418.95	$94.71
72100 X-ray of lower and sacral spine, 2-3 views	31	30	$174.38	$35.63
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	25	11	$27.25	$6.33
20610 Aspiration and/or injection of fluid from large joint	12	11	$228.20	$42.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	8,264	12	$3.58	$2.16
J2795 Injection, ropivacaine hydrochloride, 1 mg	3,611	95	$2.00	$0.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,236	96	$12.42	$1.45
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,089	18	$34.72	$18.44
99213 Established patient office or other outpatient visit, typically 15 minutes	350	181	$193.81	$69.96
20610 Aspiration and/or injection of fluid from large joint	173	94	$235.54	$66.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$320.80	$98.66
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	76	34	$24.77	$6.95
73562 X-ray of knee, 3 views	75	51	$130.49	$35.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	61	$292.85	$102.10
J1885 Injection, ketorolac tromethamine, per 15 mg	62	12	$29.74	$0.57
73030 X-ray of shoulder, minimum of 2 views	50	33	$162.38	$30.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	35	$71.88	$13.37
73630 X-ray of foot, minimum of 3 views	34	16	$129.62	$29.95
73502 X-ray of hip, 2-3 views	32	27	$113.53	$41.46
73610 X-ray of ankle, minimum of 3 views	32	17	$120.33	$31.95
72100 X-ray of lower and sacral spine, 2-3 views	22	19	$147.81	$33.76
20610 Aspiration and/or injection of fluid from large joint	17	13	$215.32	$36.08
20600 Aspiration and/or injection of fluid from small joint	14	11	$159.00	$39.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$433.74	$155.23
23412 Repair of chronic torn shoulder rotator cuff	11	11	$2665.96	$769.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	16,905	26	$2.70	$2.14
J2795 Injection, ropivacaine hydrochloride, 1 mg	12,973	165	$2.00	$0.08
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	447	149	$24.00	$6.71
99213 Established patient office or other outpatient visit, typically 15 minutes	436	225	$189.00	$68.94
20610 Aspiration and/or injection of fluid from large joint	258	129	$201.00	$59.78
J1885 Injection, ketorolac tromethamine, per 15 mg	225	41	$36.00	$0.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	205	28	$14.00	$1.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	112	56	$61.00	$15.33
73562 X-ray of knee, 3 views	103	70	$125.00	$33.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$278.00	$100.79
73030 X-ray of shoulder, minimum of 2 views	60	45	$165.00	$27.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	50	$278.00	$99.52
73502 X-ray of hip, 2-3 views	49	36	$103.00	$38.46
J1100 Injection, dexamethasone sodium phosphate, 1 mg	42	12	$23.00	$0.10
73610 X-ray of ankle, minimum of 3 views	34	19	$107.00	$30.38
72100 X-ray of lower and sacral spine, 2-3 views	31	26	$140.00	$33.45
73130 X-ray of hand, minimum of 3 views	20	15	$124.00	$30.38
73110 X-ray of wrist, minimum of 3 views	19	13	$124.00	$31.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$428.00	$153.85
20605 Aspiration and/or injection of medium joint or joint capsule	13	13	$163.00	$36.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	15,456	22	$2.70	$2.03
J2795 Injection, ropivacaine hydrochloride, 1 mg	7,409	136	$2.03	$0.08
99213 Established patient office or other outpatient visit, typically 15 minutes	453	227	$189.00	$67.23
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	431	141	$24.17	$6.97
J1885 Injection, ketorolac tromethamine, per 15 mg	240	48	$36.00	$0.55
20610 Aspiration and/or injection of fluid from large joint	210	106	$201.00	$61.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$278.00	$99.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	100	63	$61.00	$18.47
73562 X-ray of knee, 3 views	87	62	$125.00	$33.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	66	$278.00	$99.53
73030 X-ray of shoulder, minimum of 2 views	46	31	$165.00	$27.06
73502 X-ray of hip, 2-3 views	43	34	$103.00	$37.19
73610 X-ray of ankle, minimum of 3 views	33	21	$107.00	$28.16
73100 X-ray of wrist, 2 views	22	11	$110.00	$28.71
73630 X-ray of foot, minimum of 3 views	22	14	$129.00	$26.84
73110 X-ray of wrist, minimum of 3 views	19	12	$124.00	$33.60
72100 X-ray of lower and sacral spine, 2-3 views	19	18	$140.00	$30.78
20610 Aspiration and/or injection of fluid from large joint	15	13	$198.00	$39.94
20600 Aspiration and/or injection of fluid from small joint	13	12	$159.00	$46.86
27447 Replacement of knee joint, both sides of knee	13	13	$3762.00	$1413.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	8,570	19	$2.70	$1.79
99213 Established patient office or other outpatient visit, typically 15 minutes	454	215	$189.00	$66.25
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	393	140	$24.00	$6.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	213	213	$278.00	$97.73
20610 Aspiration and/or injection of fluid from large joint	197	118	$201.00	$55.54
J1885 Injection, ketorolac tromethamine, per 15 mg	144	30	$36.00	$0.60
73562 X-ray of knee, 3 views	83	73	$125.00	$40.90
73030 X-ray of shoulder, minimum of 2 views	63	45	$165.00	$26.91
73502 X-ray of hip, 2-3 views	62	36	$103.00	$37.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	41	$61.00	$23.02
73630 X-ray of foot, minimum of 3 views	36	25	$129.00	$25.52
73100 X-ray of wrist, 2 views	25	11	$110.00	$25.97
72100 X-ray of lower and sacral spine, 2-3 views	20	18	$140.00	$31.52
73560 X-ray of knee, 1-2 views	16	11	$121.00	$27.53
73130 X-ray of hand, minimum of 3 views	13	12	$124.00	$31.78
20605 Aspiration and/or injection of medium joint or joint capsule	13	12	$163.00	$44.39

Medical Specialties & State Licenses

CMS Verified: 2025-09-30

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TN 2291

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.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License WY TL1160

Hospital & Practice Group Affiliations

Coffee County Hospital Group Inc

482 Interstate Dr, Manchester, TN 373553109

Phone: 9317284718

Coffee County Hospital Group Inc

482 Interstate Dr, Manchester, TN 373553109

Phone: 9317284718

Coffee Medical Group Llc

481 Interstate Dr, Manchester, TN 373553108

Phone: 9317286354

Secondary Practice Locations

730 Kings Ln

Tullahoma, TN 373885371

Phone: 9318419200

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location September 30, 2025

Registered at 482 INTERSTATE DR STE 102, MANCHESTER, TN 373553485 (Tel: 9314888700)

📍

Updated Business Mailing Address September 03, 2025

Registered at 111 MOSBY CT, SHELBYVILLE, TN 371607179

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2025

Orthopaedic Surgery (License #2291 in TN)

📍

Updated Practice Location February 28, 2023

Registered at 120 FRANK MARTIN RD STE 200, SHELBYVILLE, TN 371607195 (Tel: 9314888700)

📍

Updated Business Mailing Address February 28, 2023

Registered at 3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 370723132 (Tel: 6152392018)

✅

NPI Profile Active August 13, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 13, 2015

Registered at 1589 SPARTA ST, SUITE 203B, MCMINNVILLE, TN 371101390 (Tel: 9316684585)

📍

Updated Business Mailing Address August 13, 2015

Registered at 501 GREAT CIRCLE RD, STE. 200, NASHVILLE, TN 37228 (Tel: 9314739624)

👤

Provider Name / Credentials Updated August 13, 2015

Recorded as BRIAN PETERSEN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2015

Orthopaedic Surgery (License #2291 in TN)

🟢

Initial NPI Registration & Enumeration May 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1861693095

Entity Type:

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

Enumeration Date: May 28, 2007

Last Update: September 30, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

111 Mosby Ct

Shelbyville, TN 371607179

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.