Kevin Peterson, M.D.
NPI 1790754877 · Family Medicine Physician · Jacksonville, FL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Peterson, M.D. is a Family Medicine Physician provider in Jacksonville, FL (NPI 1790754877).
Provider details
- NPI number
- 1790754877
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME81505 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
20 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.
$314 across 8 records (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
- 2006-03-14
- Last updated
- 2009-04-22
Frequently asked questions
- What is Kevin Peterson's NPI number?
- Kevin Peterson's National Provider Identifier (NPI) is 1790754877, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Peterson's specialty?
- Kevin Peterson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kevin Peterson located?
- Kevin Peterson's practice location on file with NPPES is 2377 Dunn Ave, Jacksonville, FL 32218-6983.
- What is Kevin Peterson's phone number?
- The practice phone number listed in the NPPES registry for Kevin Peterson is (904) 633-0700.
- Does Kevin Peterson accept Medicare?
- Kevin Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Peterson's NPI active?
- Yes — Kevin Peterson's NPI (1790754877) is active in the NPPES registry as of the last update on 2009-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.