BRIAN WALTER PETERSEN D.O. NPI 1861693095

NPI Details

Brian Walter Petersen, D.O. is an orthopaedic surgery in Manchester, TN with 22 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Brian Walter Petersen, D.O. NPI is 1861693095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:2004

The provider's business location address is:

482 INTERSTATE DR STE 102
MANCHESTER, TN
ZIP 37355-485
Phone: (931) 488-8700
Fax: (931) 735-6456

The NPI 1861693095 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.

• Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg (HCPCS:J7328)
• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• X-ray of knee, 3 views (HCPCS:73562)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
• Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of hip, 2-3 views (HCPCS:73502)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
• Emergency department visit for problem of moderate severity (HCPCS:99283)
• Treatment of broken neck of thigh bone with bone implant (HCPCS:27245)
• X-ray of wrist, minimum of 3 views (HCPCS:73110)
• Replacement of knee joint, both sides of knee (HCPCS:27447)
• Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
• Hip replacement (HCPCS:NAN09)
• Knee replacement (HCPCS:NAN06)
• Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
• Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 5/28/2007 and was last updated on 9/30/2025.

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: