DR. CARL ROY PETERSON M.D. M.S. NPI 1114151230

NPI Details

DR. Carl Roy Peterson, M.D., M.S. is a radiation oncology radiology in Boardman, OH with 17 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Carl Roy Peterson, M.D., M.S. NPI is 1114151230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:2009

The provider's business location address is:

8401 MARKET ST
BOARDMAN, OH
ZIP 44512-725
Phone: (330) 629-7500
Fax: (330) 629-7504

The NPI 1114151230 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
• Calculation of radiation therapy dose (HCPCS:77300)
• Radiation treatment management, 5 treatment sessions (HCPCS:77427)
• Design and construction of complex radiation treatment device (HCPCS:77334)
• New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
• Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
• High precision radiation therapy planning (HCPCS:77301)
• Complex radiation therapy planning (HCPCS:77263)
• Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Obtaining respiratory data needed to develop the optimal radiation treatment (HCPCS:77293)
• Special radiation treatment (HCPCS:77470)
• Complex radiation therapy planning for delivery of external radiation (HCPCS:77307)
• 3d radiation therapy planning (HCPCS:77295)
• Design and construction of simple radiation treatment device (HCPCS:77332)
• Management of cranial lesion surgery using radiation over multiple sessions (HCPCS:77435)
• Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)

The enumeration date for this NPI number is 5/4/2009 and was last updated on 12/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.