Paul Petersen, MD
NPI 1255437109 · Emergency Medicine Physician · Miami, FL
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Petersen, MD is a Emergency Medicine Physician provider in Miami, FL (NPI 1255437109).
Provider details
- NPI number
- 1255437109
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME82450 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
573 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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 364 | $180 |
| Critical Care, First 30-74 Minutes99291 | 120 | $216 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 89 | $124 |
Typical Medicare-allowed amounts for these services range $124–$216 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 37 | 36 |
| Methocarbamol | 29 | 29 |
| Acetaminophen With Codeinebrand: Acetaminophen-Codeine | 25 | 24 |
| Ibuprofen | 21 | 21 |
| Prednisone | 21 | 21 |
| Ondansetronbrand: Ondansetron Odt | 19 | 19 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 16 | 16 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$31 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 (3)
- 2845 Aventura BlvdAventura, FL 33180-3118Phone: (305) 692-1000
- 6050 W 20th AveHialeah, FL 33016-2605Phone: (786) 584-5000Fax: (786) 584-5112
- 4300 Alton RdMiami Beach, FL 33140-2948Phone: (305) 481-9776Fax: (305) 674-2007
Registry dates
- Enumerated
- 2006-09-16
- Last updated
- 2019-08-08
Frequently asked questions
- What is Paul Petersen's NPI number?
- Paul Petersen's National Provider Identifier (NPI) is 1255437109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Petersen's specialty?
- Paul Petersen is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Petersen located?
- Paul Petersen's practice location on file with NPPES is 3663 S Miami Ave, Miami, FL 33133-4253.
- What is Paul Petersen's phone number?
- The practice phone number listed in the NPPES registry for Paul Petersen is (305) 665-4614.
- Does Paul Petersen accept Medicare?
- Paul Petersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Petersen's NPI active?
- Yes — Paul Petersen's NPI (1255437109) is active in the NPPES registry as of the last update on 2019-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.