Doctor profile · Federal record
Dr. Mary Peterson, D.O.
Family Medicine Physician (CMS: Family Practice) · Park Ridge, IL
- NPI 1356508675
- Accepts Medicare
- 20 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
205 S Northwest Hwy Ste 130
Park Ridge, IL 600685802
(847) 292-5200
Credentials & registration
- NPI registered
- May 2008 — 18 yrs on file
- Profile last updated
- October 12, 2020
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Illinois #036121820
- Medicaid
- IL #036121820
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1356508675. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
589
Distinct HCPCS
8
Medicare allowed
$65,918
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 161 | 161 | $134 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 135 | 112 | $134 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 108 | 103 | $95 | |
G0008 |
Administration of influenza virus vaccine | 46 | 46 | $32 | |
90662 |
Influenza vaccine split virus, preservative free | 43 | 43 | $72 | |
G0009 |
Administration of pneumococcal vaccine | 40 | 40 | $32 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 35 | 35 | $283 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 21 | 21 | $15 |
In context: peer comparison
Among 22 peers in this city , average services per provider: 93. This provider delivers 6.3× the peer median.Open Payments
Industry payments received
All-time total
$24
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Exact Sciences Corporation | 1 | $24.11 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,179
Patients
748
Total drug cost
$28,772
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 386 | 133 | $5,831 |
| Levothyroxine Sodium | Generic | 284 | 98 | $4,843 |
| Amlodipine Besylate | Generic | 189 | 68 | $2,085 |
| Metoprolol Succinate | Generic | 185 | 66 | $3,796 |
| Losartan Potassium | Generic | 165 | 56 | $2,397 |
| Lisinopril | Generic | 158 | 57 | $1,548 |
| Simvastatin | Generic | 119 | 39 | $1,060 |
| Hydrochlorothiazide | Generic | 107 | 42 | $677 |
| Metformin Hcl | Generic | 106 | 36 | $1,020 |
| Metoprolol Tartrate | Generic | 90 | 33 | $868 |
Hospital affiliations
Frequently asked questions
What is Dr. Mary Peterson's medical specialty?
Dr. Mary Peterson practices Family Medicine Physician in Park Ridge, IL.
Where does Dr. Mary Peterson practice?
Dr. Mary Peterson practices at 205 S Northwest Hwy Ste 130, Park Ridge, IL 600685802. Office phone: 8472925200.
What is Dr. Mary Peterson's NPI?
Dr. Mary Peterson's National Provider Identifier (NPI) is 1356508675, issued by NPPES.
Does Dr. Mary Peterson accept Medicare assignment?
Yes. Dr. Mary Peterson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mary Peterson commonly perform?
Top Medicare-reported procedures in 2023: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.