Mary Carr Peterson, PA
NPI 1164496212 · Physician Assistant · Ankeny, IA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Carr Peterson, PA is a Physician Assistant provider in Ankeny, IA (NPI 1164496212).
Provider details
- NPI number
- 1164496212
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 001597 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
904 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 148 | $9 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 128 | $71 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 125 | $10 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 89 | $13 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 89 | $101 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 85 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 61 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 129 | 52 |
| Levothyroxine Sodium | 126 | 45 |
| Omeprazole | 96 | 36 |
| Amlodipine Besylate | 79 | 27 |
| Metoprolol Succinate | 69 | 21 |
| Simvastatin | 65 | 22 |
| Lisinopril | 61 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$17 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1410 Sw Tradition Dr Ste 120Ankeny, IA 50023-9188Phone: (515) 875-9040Fax: (515) 875-9041
Registry dates
- Enumerated
- 2006-02-15
- Last updated
- 2025-08-07
- Certified
- 2025-08-07
Frequently asked questions
- What is Mary Carr Peterson's NPI number?
- Mary Carr Peterson's National Provider Identifier (NPI) is 1164496212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Carr Peterson's specialty?
- Mary Carr Peterson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Carr Peterson located?
- Mary Carr Peterson's practice location on file with NPPES is 1410 Sw Tradition Dr Ste 110, Ankeny, IA 50023.
- What is Mary Carr Peterson's phone number?
- The practice phone number listed in the NPPES registry for Mary Carr Peterson is (515) 875-9696.
- Does Mary Carr Peterson accept Medicare?
- Mary Carr Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Carr Peterson's NPI active?
- Yes — Mary Carr Peterson's NPI (1164496212) is active in the NPPES registry as of the last update on 2025-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.