DR. CHAD ALLAN PETERSON M.D. NPI 1629284732

NPI Information

  • NPI: 1629284732
  • Provider Name: DR. CHAD ALLAN PETERSON, M.D.
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 980 W IRONWOOD DR
    STE. 104
    COEUR D ALENE, ID
    ZIP 83814
  • Phone: (208) 667-0621

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NPI Details

DR. Chad Allan Peterson, M.D. is an urology in Coeur D Alene, ID with 23 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Chad Allan Peterson, M.D. NPI is 1629284732. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

980 W IRONWOOD DR
STE. 104
COEUR D ALENE, ID
ZIP 83814-668
Phone: (208) 667-0621
Fax: (208) 664-1709

The NPI 1629284732 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.

  • Bcg live intravesical instillation, 1 mg (HCPCS:J9030)
  • Identification of organisms by genetic analysis, amplified probe technique (HCPCS:87150)
  • Injection, gadobenate dimeglumine (multihance), per ml (HCPCS:A9577)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Automated urinalysis test (HCPCS:81003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique (HCPCS:87500)
  • Instillation of anti-cancer drug into bladder (HCPCS:51720)
  • Injection, garamycin, gentamicin, up to 80 mg (HCPCS:J1580)
  • Biopsy of prostate gland (HCPCS:55700)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Simple insertion of temporary bladder tube (HCPCS:51702)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Shock wave crushing of kidney stones (HCPCS:50590)
  • Complex measurement of pressure of urine flow in bladder with voiding pressure studies (HCPCS:51728)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings (HCPCS:51784)
  • Insertion of device into abdomen with pressure and urine flow rate study (HCPCS:51797)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm (HCPCS:52234)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 5/15/2007 and was last updated on 5/31/2012.

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
1208800000XUrologyM-10619IDAHOYes

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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