Doctor profile · Federal record
Dr. Kenneth Petersen, MD
Internal Medicine Physician (CMS: Internal Medicine) · Glendale, AZ
- NPI 1912017104
- Accepts Medicare
- 43 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
7701 W Aspera Blvd
Glendale, AZ 853087947
(623) 465-6060
fax (623) 242-5833 - Mailing address
-
7701 W Aspera Blvd Ste 201
Glendale, AZ 853087947
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- October 1, 2025
- Year of graduation
- 1983 — 43 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Arizona #64419
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1912017104. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
465
Distinct HCPCS
7
Medicare allowed
$53,609
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 234 | 140 | $123 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 109 | 87 | $86 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 34 | 34 | $125 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 28 | 28 | $109 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 27 | 27 | $161 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 20 | 18 | $173 | |
G0008 |
Administration of influenza virus vaccine | 13 | 13 | $30 |
In context: peer comparison
Among 22 peers in Glendale Internal Medicine Physician, average services per provider: 117. This provider delivers 4.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
1,504
Patients
481
Total drug cost
$17,452
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 274 | 85 | $3,375 |
| Lisinopril | Generic | 225 | 64 | $1,584 |
| Levothyroxine Sodium | Generic | 159 | 45 | $1,587 |
| Amlodipine Besylate | Generic | 114 | 39 | $878 |
| Losartan Potassium | Generic | 88 | 26 | $914 |
| Metoprolol Succinate | Generic | 85 | 28 | $1,537 |
| Gabapentin | Generic | 78 | 26 | $1,548 |
| Metformin Hcl | Generic | 70 | 23 | $672 |
| Pantoprazole Sodium | Generic | 66 | 24 | $925 |
| Hydrochlorothiazide | Generic | 64 | 25 | $298 |
Frequently asked questions
What is Dr. Kenneth Petersen's medical specialty?
Dr. Kenneth Petersen practices Internal Medicine Physician in Glendale, AZ.
Where does Dr. Kenneth Petersen practice?
Dr. Kenneth Petersen practices at 7701 W Aspera Blvd, Glendale, AZ 853087947. Office phone: 6234656060.
What is Dr. Kenneth Petersen's NPI?
Dr. Kenneth Petersen's National Provider Identifier (NPI) is 1912017104, issued by NPPES.
Does Dr. Kenneth Petersen accept Medicare assignment?
Yes. Dr. Kenneth Petersen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kenneth Petersen commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.