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Kenneth B Peterson

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NPI Number Detailed Information

Provider Information:

Name: Kenneth B Peterson
Gender: M
Provider License Number If Given: 1727

NPI Information:

NPI: 1083706659
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/29/2006

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 113 COMANCHE RD
Fort Meade, SD 57741
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 113 COMANCHE RD
Fort Meade, SD 57741
Phone Number: 6057207000
Fax Number:

Provider Taxonomy:

Primary: 207QS0010X
Secondary (if any):
State: SD

Top Doctors in SD

 

About Kenneth B Peterson

Kenneth B Peterson ( KENNETH B PETERSON ) is A Family Medicine Physician in Fort Meade, SD. The NPI Number for Kenneth B Peterson is 1083706659.
The current location address for Kenneth B Peterson is 113 COMANCHE RD Fort Meade, SD 57741 and the contact number is and fax number is . The mailing address for Kenneth B Peterson is 113 COMANCHE RD Fort Meade, SD 57741- 6057207000 (mailing address contact number - ).
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Provider Business Location on Map

FAQs:

What is the NPI Number for Kenneth B Peterson ?


Answer: The NPI Number for Kenneth B Peterson is 1083706659

Where is Kenneth B Peterson located?


Answer: Kenneth B Peterson is located at 113 COMANCHE RD Fort Meade, SD 57741.

What is the specialty for Kenneth B Peterson ?


Answer: The Specialty of Kenneth B Peterson is A Family Medicine Physician.

Are there any online reviews for Kenneth B Peterson ?


Answer: Not yet!

Are there any other health care providers in Fort Meade, SD?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Kenneth B Peterson

Number of HCPCS 42
Number of Medicare Beneficiaries 103
Number of Services 512
Total Submitted Charge Amount 57649
Total Medicare Allowed Amount 24451.87
Total Medicare Payment Amount 16948.15
Total Medicare Standardized Payment Amount 17390.47
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 56
Number of Beneficiaries Age 75 to 84 22
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 48
Number of Male Beneficiaries 55
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 12
Number of Beneficiaries With Medicare Only Entitlement 91
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.12
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.15
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.21
Percent (%) of Beneficiaries Identified With Diabetes 0.21
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.38
Percent (%) of Beneficiaries Identified With Hypertension 0.51
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.18
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.37
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.7007

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1343
Number of Standardized 30-Day Fills 3147.0666667
Aggregate Cost Paid for All Claims 50574.78
Number of Day's Supply for All Claims 92983
Number of Medicare Beneficiaries 146
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1138
Including Refills, for Beneficiaries Age 65+ 2768.1333333
Beneficiaries Age 65+ 44952.91
Number of Day's Supply for All Claims for Beneficaries Age 65+ 82011
Number of Medicare Beneficiaries Age 65+ 124
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst #
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1217
Aggregate Cost Paid for Generic Drugs 29982.01
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 337
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 17800.54
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1006
Aggregate Cost Paid for Claims Filled by 32774.24
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 318
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 17818.21
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1025
by Low-Income Subsidy 32756.57
Total Claims of Opioid Drugs, Including 74
Aggregate Cost Paid for Opioid Drugs 2965.45
Opioid Claims 12
Opioid_Tot_Clms divided by the Tot_Clms 5.5100521221
Total Claims of Long-Acting Opioid Drugs 15
Aggregate Cost Paid for Long-Acting Opioid 367.63
Number of Day's Supply of All Long-Acting 432
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 20.27027027
Total Claims of Antibiotic Drugs, Including 20
Aggregate Cost Paid for Antibiotic Drugs 232.24
Antibiotic Claims 17
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 70.294520548
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 82
Number of Beneficiaries Age 75 to 84 33
Number of Female Beneficiaries 71
Number of Male Beneficiaries 75
Number of Non-Hispanic White 143
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 0
Only Entitlement 120
Average Hierarchical Condition Category 0.7928772831

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Pharmacotherapy Pharmacist
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Internal Medicine Physician
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Robert Douglas Reilly
Certified Registered Nurse Anesthetist
NPI Number: 1821180498
Address: 113 COMANCHE RD Fort Meade, SD 57741 , Phone: 6057207000
Kenneth B Peterson
Sports Medicine (Family Medicine) Physician
NPI Number: 1083706659
Address: 113 COMANCHE RD Fort Meade, SD 57741 , Phone: 6057207000
Daryl S Dickson
Family Medicine Physician
NPI Number: 1215029939
Address: 113 COMANCHE RD Fort Meade, SD 57741 , Phone: 6057207000
Craig John Fischer
General Practice Dentistry
NPI Number: 1518059252
Address: 113 COMANCHE RD Fort Meade, SD 57741 , Phone: 6057207000
Reed Merrit Fossum
Family Medicine Physician
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Lial L Kofoed
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Certified Registered Nurse Anesthetist
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Optometrist
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Surgery Physician
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James Byron Kullbom
Orthopaedic Surgery Physician
NPI Number: 1639261233
Address: 113 COMANCHE RD Fort Meade, SD 57741 , Phone: 6057207000
Laurie Anne Weisensee
Neurology Physician
NPI Number: 1447342076
Address: 113 COMANCHE RD Fort Meade, SD 57741 , Phone: 6057207000
Steven K Goff
Physical Medicine & Rehabilitation Physician
NPI Number: 1891887436
Address: 113 COMANCHE RD Fort Meade, SD 57741 , Phone: 6057207000
Steven Alexander Massopust
Geriatric Medicine (Family Medicine) Physician
NPI Number: 1629160189
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Clinical Psychologist
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Pharmacist
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Psychiatric/Mental Health Nurse Practitioner
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Family Nurse Practitioner
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Clinical Psychologist
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Certified Registered Nurse Anesthetist
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Mardonna R Hulm
Adult Health Nurse Practitioner
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Pharmacist
NPI Number: 1760578850
Address: 113 COMANCHE RD Fort Meade, SD 57741 , Phone: 6053472511
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