Doctor profile · Federal record
Dr. Mary Carr Peterson, PA
Physician Assistant · Medical Physician Assistant · Ankeny, IA
- NPI 1164496212
- Accepts Medicare
- 22 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1410 Sw Tradition Dr Ste 110
Ankeny, IA 50023
(515) 875-9696
fax (515) 875-9697 - Additional location
-
1410 Sw Tradition Dr Ste 120
Ankeny, IA 500239188
(515) 875-9040
fax (515) 875-9041 - Mailing address
-
Po Box 424
Des Moines, IA 503020424
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- August 7, 2025
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Iowa #001597
- Medicaid (4)
- IA #2117994 · IA #3117994 · IA #1117994 · IA #0634600
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164496212. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
778
Distinct HCPCS
10
Medicare allowed
$34,534
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 149 | 114 | $103 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 140 | 109 | $72 | |
36415 |
Insertion of needle into vein for collection of blood sample | 114 | 95 | $8 | |
80053 |
Blood test, comprehensive group of blood chemicals | 92 | 82 | $10 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 72 | 65 | $8 | |
80061 |
Blood test, lipids (cholesterol and triglycerides) | 48 | 46 | $13 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 36 | 36 | $104 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 28 | 27 | $11 | |
81003 |
Automated urinalysis test | 27 | 26 | $2 | |
84443 |
Blood test, thyroid stimulating hormone (tsh) | 22 | 21 | $16 |
In context: peer comparison
Among 14 peers in this city , average services per provider: 69. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 1 | $16.63 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
421
Patients
138
Total drug cost
$3,985
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 55 | 22 | $731 |
| Amlodipine Besylate | Generic | 51 | 15 | $351 |
| Alprazolam | Generic | 38 | 18 | $259 |
| Atorvastatin Calcium | Generic | 38 | 17 | $366 |
| Gabapentin | Generic | 30 | 0 | $326 |
| Sertraline Hcl | Generic | 28 | 0 | $234 |
| Losartan Potassium | Generic | 25 | 12 | $211 |
| Lisinopril | Generic | 23 | 12 | $186 |
| Omeprazole | Generic | 22 | 13 | $374 |
| Zolpidem Tartrate | Generic | 22 | 13 | $182 |
Frequently asked questions
What is Dr. Mary Carr Peterson's medical specialty?
Dr. Mary Carr Peterson practices Physician Assistant in Ankeny, IA.
Where does Dr. Mary Carr Peterson practice?
Dr. Mary Carr Peterson practices at 1410 Sw Tradition Dr Ste 110, Ankeny, IA 50023. Office phone: 5158759696.
What is Dr. Mary Carr Peterson's NPI?
Dr. Mary Carr Peterson's National Provider Identifier (NPI) is 1164496212, issued by NPPES.
Does Dr. Mary Carr Peterson accept Medicare assignment?
Yes. Dr. Mary Carr Peterson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mary Carr Peterson 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); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.