Doctor profile · Federal record
Dr. Wiley Petersen, PA-C
Physician Assistant · Chubbuck, ID
- NPI 1568920080
- Accepts Medicare
- 8 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
134 W Chubbuck RD
Chubbuck, ID 832022338
(208) 417-0102
fax (208) 242-3219 - Mailing address
-
5014 Mary Ln
Pocatello, ID 832021679
Credentials & registration
- NPI registered
- March 2019 — 7 yrs on file
- Profile last updated
- May 17, 2024
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Idaho #PA-1714
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1568920080. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
321
Distinct HCPCS
7
Medicare allowed
$18,057
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
36415 |
Insertion of needle into vein for collection of blood sample | 81 | 54 | $8 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 74 | 66 | $71 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 45 | 45 | $101 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 44 | 39 | $98 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 40 | 32 | $8 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 20 | 16 | $140 | |
83036 |
Hemoglobin a1c level | 17 | 15 | $10 |
In context: peer comparison
Among 3 peers in Chubbuck Physician Assistant, average services per provider: 673. This provider delivers 0.5× the peer median.Open Payments
Industry payments received
All-time total
$218
Transactions
10
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 5 | $132.14 | |
| Axsome Therapeutics, INC. | 2 | $30.08 | |
| Corcept Therapeutics | 1 | $24.33 | |
| GlaxoSmithKline, LLC. | 1 | $18.13 | |
| Lilly USA, LLC | 1 | $13.77 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
517
Patients
154
Total drug cost
$6,586
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 78 | 38 | $1,234 |
| Lisinopril | Generic | 53 | 21 | $422 |
| Losartan Potassium | Generic | 47 | 21 | $627 |
| Metformin Hcl | Generic | 40 | 15 | $188 |
| Amlodipine Besylate | Generic | 39 | 14 | $226 |
| Atorvastatin Calcium | Generic | 37 | 15 | $571 |
| Omeprazole | Generic | 37 | 18 | $681 |
| Gabapentin | Generic | 29 | 12 | $495 |
| Lorazepam | Generic | 25 | 0 | $73 |
| Trazodone Hcl | Generic | 24 | 0 | $142 |
Hospital affiliations
Frequently asked questions
What is Dr. Wiley Petersen's medical specialty?
Dr. Wiley Petersen practices Physician Assistant in Chubbuck, ID.
Where does Dr. Wiley Petersen practice?
Dr. Wiley Petersen practices at 134 W Chubbuck RD, Chubbuck, ID 832022338. Office phone: 2084170102.
What is Dr. Wiley Petersen's NPI?
Dr. Wiley Petersen's National Provider Identifier (NPI) is 1568920080, issued by NPPES.
Does Dr. Wiley Petersen accept Medicare assignment?
Yes. Dr. Wiley Petersen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Wiley Petersen commonly perform?
Top Medicare-reported procedures in 2023: Insertion of needle into vein for collection of blood sample (HCPCS 36415); 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.