Gregory Petersen, PHD
NPI 1275509804 · Clinical Psychologist · Roanoke, VA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gregory Petersen, PHD is a Clinical Psychologist provider in Roanoke, VA (NPI 1275509804).
Provider details
- NPI number
- 1275509804
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- License
- 0810-002774 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
102 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Psychotherapy, 45 Minutes90834 | 62 | $104 |
| Psychotherapy, 30 Minutes90832 | 40 | $79 |
Typical Medicare-allowed amounts for these services range $79–$104 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-24
- Last updated
- 2007-07-08
Frequently asked questions
- What is Gregory Petersen's NPI number?
- Gregory Petersen's National Provider Identifier (NPI) is 1275509804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gregory Petersen's specialty?
- Gregory Petersen is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Gregory Petersen located?
- Gregory Petersen's practice location on file with NPPES is 2017 Jefferson St Sw, Roanoke, VA 24014-2419.
- What is Gregory Petersen's phone number?
- The practice phone number listed in the NPPES registry for Gregory Petersen is (540) 981-7097.
- Does Gregory Petersen accept Medicare?
- Gregory Petersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gregory Petersen's NPI active?
- Yes — Gregory Petersen's NPI (1275509804) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.