DR. VINCENT GLENN PETERSON D.O. NPI 1487887295

NPI Information

  • NPI: 1487887295
  • Provider Name: DR. VINCENT GLENN PETERSON, D.O.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 695 N CLYDE MORRIS BLVD
    DAYTONA BEACH, FL
    ZIP 32114
  • Phone: (386) 258-8722

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NPI Details

DR. Vincent Glenn Peterson, D.O. is an interventional cardiology internal medicine in Daytona Beach, FL with 17 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Vincent Glenn Peterson, D.O. NPI is 1487887295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2009

The provider's business location address is:

695 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL
ZIP 32114-321
Phone: (386) 258-8722
Fax: (386) 258-9443

The NPI 1487887295 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.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Injection, regadenoson, 0.1 mg (HCPCS:J2785)
  • Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec (HCPCS:G2066)
  • Evaluation of cardiac rhythm monitor system, remote up to 30 days (HCPCS:93298)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Technetium tc-99m sestamibi, diagnostic, per study dose (HCPCS:A9500)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Infusion, normal saline solution, 250 cc (HCPCS:J7050)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Drug infusion during cardiac catheterization (HCPCS:93463)
  • Follow-up observation care per day, typically 25 minutes (HCPCS:99225)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Ultrasound of within the brain blood flow (HCPCS:93888)
  • Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist (HCPCS:93460)
  • Replacement of aortic valve through the skin and femoral artery (HCPCS:33361)
  • Electrocardiogram (ecg) 2-day continuous with review and report by health care professional (HCPCS:93224)
  • Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS:93459)
  • Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 8/26/2009 and was last updated on 9/19/2022.

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
1207UN0901XNuclear MedicineNuclear CardiologyOS14032FLORIDANo
2207RI0011XInternal MedicineInterventional CardiologyOS14032FLORIDAYes
3207RC0000XInternal MedicineCardiovascular DiseaseOS14032FLORIDANo

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
1278018600MEDICAIDFLORIDA
288976OTHERFLORIDABCBS FL

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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