MARK A PETERSON MD NPI 1407810898

NPI Information

  • NPI: 1407810898
  • Provider Name: MARK A PETERSON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1300 BRADEN ST
    JACKSONVILLE, AR
    ZIP 72076
  • Phone: (501) 985-5900

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NPI Details

Mark A Peterson, MD is a family medicine in Jacksonville, AR with 42 years of experience. The provider is 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. Mark A Peterson, MD NPI is 1407810898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1984

The provider's business location address is:

1300 BRADEN ST
JACKSONVILLE, AR
ZIP 72076-719
Phone: (501) 985-5900
Fax: (501) 985-6016

The NPI 1407810898 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.

  • Injection, denosumab, 1 mg (HCPCS:J0897)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Automated urinalysis test (HCPCS:81003)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Liver function blood test panel (HCPCS:80076)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Uric acid level, blood (HCPCS:84550)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Hemoglobin a1c level (HCPCS:83036)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Magnesium level (HCPCS:83735)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Ldl cholesterol level (HCPCS:83721)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Hdl cholesterol level (HCPCS:83718)
  • Detection test by nucleic acid for multiple types influenza virus (HCPCS:87502)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Iron level (HCPCS:83540)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Injection, garamycin, gentamicin, up to 80 mg (HCPCS:J1580)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique (HCPCS:87651)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Amylase (enzyme) level (HCPCS:82150)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Stool analysis for blood, by fecal hemoglobin determination by immunoassay (HCPCS:82274)
  • Vitamin d-3 level (HCPCS:82306)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage; first dose (HCPCS:0041A)
  • Phosphate level (HCPCS:84100)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Lipase (fat enzyme) level (HCPCS:83690)

The enumeration date for this NPI number is 4/13/2006 and was last updated on 12/9/2009.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineC6651ARKANSASYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D84128MEDICARE UPIN
251225MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
3113403001MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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