Glenn Peterson, PA-C
NPI 1972031698 · Physician Assistant · Poulsbo, WA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Glenn Peterson, PA-C is a Physician Assistant provider in Poulsbo, WA (NPI 1972031698).
Provider details
- NPI number
- 1972031698
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 085006213 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
91 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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 38 | $148 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 33 | $103 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 20 | $7 |
Typical Medicare-allowed amounts for these services range $7–$148 (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 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 24 | 24 |
| Cefdinir | 24 | 24 |
| Fluticasone Propionate | 24 | 24 |
| Ibuprofen | 23 | 23 |
| Ondansetronbrand: Ondansetron Odt | 18 | 18 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 17 | 17 |
| Cyclobenzaprine Hcl | 12 | 12 |
Practice location
Mailing address
Additional practice locations (3)
- 412 S. Jackson St.Belleville, IL 62220Phone: (618) 550-9746
- 4500 Memorial DrBelleville, IL 62226-5360Phone: (618) 233-7750
- 939 Caroline StPort Angeles, WA 98362-3997Phone: (360) 417-7000
Registry dates
- Enumerated
- 2017-05-25
- Last updated
- 2022-07-21
- Certified
- 2021-05-21
Frequently asked questions
- What is Glenn Peterson's NPI number?
- Glenn Peterson's National Provider Identifier (NPI) is 1972031698, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glenn Peterson's specialty?
- Glenn Peterson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Glenn Peterson located?
- Glenn Peterson's practice location on file with NPPES is 19835 10th Ave Ne Ste B, Poulsbo, WA 98370-7451.
- What is Glenn Peterson's phone number?
- The practice phone number listed in the NPPES registry for Glenn Peterson is (360) 779-7011.
- Does Glenn Peterson accept Medicare?
- Glenn Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Glenn Peterson's NPI active?
- Yes — Glenn Peterson's NPI (1972031698) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.