Kevin Petersen, D.O.
NPI 1356778419 · Surgery Physician · Pensacola, FL
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Petersen, D.O. is a Surgery Physician provider in Pensacola, FL (NPI 1356778419).
Provider details
- NPI number
- 1356778419
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- DO3578 (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
12 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$120 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
Registry dates
- Enumerated
- 2013-10-03
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Frequently asked questions
- What is Kevin Petersen's NPI number?
- Kevin Petersen's National Provider Identifier (NPI) is 1356778419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Petersen's specialty?
- Kevin Petersen is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Kevin Petersen located?
- Kevin Petersen's practice location on file with NPPES is 220 Hovey Rd Fl 32508, Pensacola, FL 32508-1044.
- What is Kevin Petersen's phone number?
- The practice phone number listed in the NPPES registry for Kevin Petersen is (850) 452-9484.
- Does Kevin Petersen accept Medicare?
- Kevin Petersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Petersen's NPI active?
- Yes — Kevin Petersen's NPI (1356778419) is active in the NPPES registry as of the last update on 2025-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.