Doctor profile · Federal record

Dr. Henry Petersen, PA-C

Medical Physician Assistant (CMS: Physician Assistant) · Coeur D Alene, ID

  • NPI 1891123543
  • Accepts Medicare
  • MIPS 93.9 / 100 · 2023
  • 13 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
700 W Ironwood Dr, Ste 320
Coeur D Alene, ID 838142656
(208) 625-5250
fax (208) 625-5251
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 838146051

Credentials & registration

NPPES · NUCC
NPI registered
October 2013 — 13 yrs on file
Profile last updated
July 22, 2025
Year of graduation
2013 — 13 yrs since
Specialty taxonomy
363AM0700X — NUCC code
State license (1)
Idaho #PA-1146

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1891123543. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
412
Distinct HCPCS
6
Medicare allowed
$25,892
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 205 180 $100
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 109 103 $7
99213 Established patient office or other outpatient visit, 20-29 minutes 36 35 $70
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 31 31 $17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 17 15 $64
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 14 13 $40

In context: peer comparison

Among 8 peers in this city , average services per provider: 119. This provider delivers 3.5× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$23
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Boston Scientific Corporation 1 $22.74

By nature of payment

Food and Beverage
$23

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
997
Patients
434
Total drug cost
$296,911
Drug Type Claims Patients Total cost
Eliquis (Apixaban) Brand 132 37 $148,491
Metoprolol Succinate Generic 122 55 $2,560
Atorvastatin Calcium Generic 106 42 $2,005
Losartan Potassium Generic 72 33 $1,147
Brilinta (Ticagrelor) Brand 70 23 $60,972
Clopidogrel (Clopidogrel Bisulfate) Brand 63 26 $818
Potassium Chloride Generic 63 33 $1,912
Carvedilol Generic 60 24 $557
Amlodipine Besylate Generic 57 29 $403
Lisinopril Generic 57 21 $433

Frequently asked questions

Auto-generated from federal data
What is Dr. Henry Petersen's medical specialty?
Dr. Henry Petersen practices Medical Physician Assistant in Coeur D Alene, ID.
Where does Dr. Henry Petersen practice?
Dr. Henry Petersen practices at 700 W Ironwood Dr, Coeur D Alene, ID 838142656. Office phone: 2086255250.
What is Dr. Henry Petersen's NPI?
Dr. Henry Petersen's National Provider Identifier (NPI) is 1891123543, issued by NPPES.
Does Dr. Henry Petersen accept Medicare assignment?
Yes. Dr. Henry Petersen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Henry Petersen commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.