Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245303429 Individual Practitioner Male Practitioner

Dr. Lance Petersen , MD

Emergency Medicine • Powell, WY

Professional Overview & Biography Verified Profile Summary

Dr. Lance Petersen, MD is a registered healthcare professional specializing in Emergency Medicine in Powell, WY. Practice services are available at 777 AVENUE H under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

777 Avenue H

Powell, WY 824352260

Telephone 3077542267
Fax 3077547747
Associated Practice Facility / Clinic
🏢 Powell Valley Health Care Inc Facility NPI 1497753115

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Powell, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.8 Yrs
State Avg: 20.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Powell, WY (117 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
85.8% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
94 90 $1224.21 $172.90
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
51 50 $60.65 $8.55
99283 Emergency department visit with low level of medical decision making
22 22 $436.77 $62.18
99284 Emergency department visit with moderate level of medical decision making
19 19 $823.42 $118.07

Medical Specialties & State Licenses

CMS Verified: 2026-06-24
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License WA MD00035749

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License WY 8006A

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License WA MD00035749

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8232787 (WA)

Secondary Practice Locations

110 Hospital Lane

Afton, WY 831100579

Phone: 3078855800

Practice Associates & Co-Workers

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

34 Associated Practitioners
Tari Mcadam , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013648286

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Bradley North , DO

Emergency Medicine

NPI 1023057874

Doctor of Osteopathic Medicine (D.O.)

Chris Hoellwarth , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043209406

Certified Registered Nurse Anesthetist

Mary Neal

Dietitian, Registered

NPI 1073150926
Brett Soloai

Occupational Therapist - Hand

NPI 1073756847
Adam Fieber , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093243784

Certified Registered Nurse Anesthetist

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) June 24, 2026

Emergency Medicine (License #8006A in WY)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2025

Emergency Medicine (License #MD00035749 in WA)

📍
Updated Practice Location October 23, 2020

Registered at 777 AVENUE H, POWELL, WY 824352260 (Tel: 3077542267)

📍
Updated Business Mailing Address May 07, 2020

Registered at 777 AVENUE H, POWELL, WY 824352260 (Tel: 3077542267)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2020

Emergency Medicine (License #8006A in WY)

NPI Profile Active January 20, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2009

Registered at 110 HOSPITAL LANE, AFTON, WY 831100579 (Tel: 3078855800)

📍
Updated Business Mailing Address January 20, 2009

Registered at 901 ADAMS, AFTON, WY 831100579 (Tel: 3078855800)

👤
Provider Name / Credentials Updated January 20, 2009

Recorded as LANCE PETERSEN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2009

Family Medicine (License #MD00035749 in WA)

🟢
Initial NPI Registration & Enumeration November 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Lance Petersen. Be the first to share your experience!

Sign in to leave a review for Dr. Lance Petersen

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1245303429
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: June 24, 2026
Sole Proprietor: No

Mailing Address

777 Avenue H

Powell, WY 824352260

Phone: 3077542267

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.