Active NPI 1740397140 Individual Practitioner Male Practitioner

Mark A Peterson , PA-C

Physician Assistant • Kenosha, WI

Professional Overview & Biography Verified Profile Summary

Mark Peterson, PA-C is a certified Physician Assistant practicing in Kenosha, WI. With approximately 37 years of clinical experience since completing medical education in 1989, Mark Peterson delivers high-quality medical care to the local community at 7540 22ND AVE.

Mark Peterson maintains professional affiliations with Aamg Reach Pllc, Advantage Physical Therapy And Sports Rehab, Llc, Aurora Medical Group, Inc. and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, influenza vaccine split virus, preservative free. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7540 22nd Ave

Kenosha, WI 53143

Telephone 2626567800

Fax 2626567810

Associated Practice Facility / Clinic

🏢 Aurora Pharmacy Inc Facility NPI 1114951332

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kenosha, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +22.4 yrs vs City Avg

City Avg: 14.6 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

45 Specialists

Practicing in Kenosha, WI (3517 Statewide)

Telehealth Adoption Rate

13.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (37 Years) 37 Yrs

Kenosha Specialty Average (14.6 Years) 14.6 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
99213 Established patient office or other outpatient visit, typically 15 minutes	325	170	$350.00	$70.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	191	$515.00	$101.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	168	168	$360.00	$100.35
90662 Influenza vaccine split virus, preservative free	50	48	$125.00	$73.69
G0008 Administration of influenza virus vaccine	48	47	$65.00	$30.42
93000 Routine ekg using at least 12 leads including interpretation and report	35	33	$190.00	$11.31
90480 Admn sarscov2 vacc 1 dose	17	17	$90.00	$35.79
91322 Sarscov2 vac 50 mcg/0.5ml im	17	17	$250.00	$137.06
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$425.00	$132.13
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$190.00	$11.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	300	185	$330.00	$71.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	143	$490.00	$102.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	162	162	$355.00	$103.34
G0008 Administration of influenza virus vaccine	63	62	$64.21	$28.01
90662 Influenza vaccine split virus, preservative free	57	56	$123.60	$70.25
93000 Routine ekg using at least 12 leads including interpretation and report	35	34	$190.00	$11.52
G0009 Administration of pneumococcal vaccine	14	14	$61.07	$28.93
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$475.00	$281.16
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$420.00	$135.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$230.00	$45.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	346	179	$313.00	$74.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	148	$465.00	$104.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	171	171	$355.00	$104.74
G0008 Administration of influenza virus vaccine	75	72	$60.00	$28.03
90662 Influenza vaccine split virus, preservative free	67	65	$113.81	$67.17
93000 Routine ekg using at least 12 leads including interpretation and report	40	37	$195.00	$11.57
G0009 Administration of pneumococcal vaccine	21	21	$60.00	$28.10
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	17	17	$460.59	$245.67
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$420.00	$137.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	367	197	$295.00	$74.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	131	$435.00	$105.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	165	165	$350.00	$107.64
G0008 Administration of influenza virus vaccine	89	88	$60.00	$16.22
90662 Influenza vaccine split virus, preservative free	78	77	$104.49	$64.20
93000 Routine ekg using at least 12 leads including interpretation and report	27	26	$228.00	$11.64
G0009 Administration of pneumococcal vaccine	26	26	$60.00	$16.23
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$199.76	$118.50
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$25.00	$17.30
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$515.00	$139.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	282	177	$281.00	$60.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	146	$416.00	$88.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	161	161	$350.00	$95.16
G0008 Administration of influenza virus vaccine	79	76	$60.00	$16.21
90662 Influenza vaccine split virus, preservative free	65	63	$93.92	$59.39
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	40	34	$50.00	$10.93
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	37	35	$101.00	$6.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	24	$597.78	$113.23
G0009 Administration of pneumococcal vaccine	22	22	$60.00	$16.10
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$191.11	$97.27
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	16	$25.00	$17.17
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$515.00	$132.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	346	209	$265.00	$60.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	315	188	$393.00	$89.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	179	179	$350.00	$95.04
G0008 Administration of influenza virus vaccine	100	97	$59.70	$15.92
90662 Influenza vaccine split virus, preservative free	89	89	$85.00	$54.89
93793 Anticoagulant management of patient taking warfarin	52	15	$62.00	$10.01
G0009 Administration of pneumococcal vaccine	42	42	$57.86	$15.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	34	$570.11	$117.02
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	33	32	$97.00	$7.06
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$187.50	$110.95
90670 Pneumococcal vaccine for injection into muscle	17	17	$366.76	$209.25
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$414.00	$137.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	403	209	$252.00	$58.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	385	220	$374.00	$85.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	203	203	$340.00	$95.10
G0008 Administration of influenza virus vaccine	122	120	$54.22	$19.63
90662 Influenza vaccine split virus, preservative free	109	107	$89.13	$51.55
G0009 Administration of pneumococcal vaccine	74	74	$52.16	$19.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	40	$549.04	$109.96
90670 Pneumococcal vaccine for injection into muscle	39	39	$355.85	$192.41
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	38	38	$181.71	$100.03
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	34	33	$94.00	$6.55
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$500.00	$126.64
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$209.00	$12.88
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$402.00	$126.79
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$30.00	$17.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	346	191	$240.00	$57.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	180	$356.00	$85.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	98	98	$355.00	$94.22
G0008 Administration of influenza virus vaccine	95	93	$49.63	$24.29
90662 Influenza vaccine split virus, preservative free	77	77	$85.00	$48.05
G0009 Administration of pneumococcal vaccine	45	45	$47.44	$24.29
90670 Pneumococcal vaccine for injection into muscle	32	32	$338.50	$180.41
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	23	23	$93.00	$6.66
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	23	13	$1.00	$0.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$514.00	$117.66
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$207.00	$13.72
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$168.40	$89.25
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$30.71	$14.65
94640 Inhalation treatment for airway obstruction or sputum production	14	13	$162.00	$13.72
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$525.00	$128.58

Medical Specialties & State Licenses

CMS Verified: 2024-04-18

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 575-023

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

42924400 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

7540 22nd Ave, Kenosha, WI 531435702

Phone: 2626567800

Advantage Physical Therapy And Sports Rehab, Llc

9809 39th Ave, Pleasant Prairie, WI 531583733

Phone: 2629255080

Aamg Reach Pllc

10400 75th St, Kenosha, WI 531427884

Phone: 2629487000

Aurora Medical Group, Inc.

1020 N 12th St, Milwaukee, WI 532331308

Phone: 4142193056

Practice Associates & Co-Workers

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

9 Associated Practitioners

Jeffrey Serchen , PT

Physical Therapist

NPI 1013040724

Physical Therapist

Adam Naker

Family Medicine

NPI 1124403027

Dr. A Capelli , MD

Family Medicine

NPI 1144239278

Doctor of Medicine (M.D.)

Ashley Schwoerer , APNP

Nurse Practitioner

NPI 1285344218

Advanced Practice Nurse Prescriber

Kristine Murphy , PA-C

Physician Assistant

NPI 1447367867

Physician Assistant (Certified)

Dr. Christopher Cook , DO

Family Medicine

NPI 1497140826

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address April 18, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 7540 22ND AVE, KENOSHA, WI 53143 (Tel: 2626567800)

📍

Updated Business Mailing Address July 09, 2007

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 4146476326)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as MARK PETERSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Physician Assistant (License #575-023 in WI)

🟢

Initial NPI Registration & Enumeration August 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: 1740397140

Entity Type:

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

Enumeration Date: August 23, 2006

Last Update: April 18, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.