Doctor profile · Federal record
Dr. Dustin Petersen, M.D.
Surgical Critical Care Physician (CMS: General Practice) · Surgery Physician · Surgery Physician · Surgical Critical Care Physician · Trauma Surgery Physician · Trauma Surgery Physician · Fort Wayne, IN
- NPI 1265661383
- Accepts Medicare
- MIPS 81.2 / 100 · 2023
- 19 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
11141 Parkview Plaza Dr Ste 305
Fort Wayne, IN 468451715
(260) 266-8900
fax (260) 266-8935 - Mailing address
-
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 468451701
Credentials & registration
- NPI registered
- July 2009 — 17 yrs on file
- Profile last updated
- October 10, 2022
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 2086S0102X — NUCC code
- State licenses (2)
- Indiana #01073898A · West Virginia #26510
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265661383. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
23
Distinct HCPCS
1
Medicare allowed
$2,839
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 23 | 20 | $123 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 69. This provider delivers 0.3× the peer median.Frequently asked questions
What is Dr. Dustin Petersen's medical specialty?
Dr. Dustin Petersen practices Surgical Critical Care Physician in Fort Wayne, IN.
Where does Dr. Dustin Petersen practice?
Dr. Dustin Petersen practices at 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 468451715. Office phone: 2602668900.
What is Dr. Dustin Petersen's NPI?
Dr. Dustin Petersen's National Provider Identifier (NPI) is 1265661383, issued by NPPES.
Does Dr. Dustin Petersen accept Medicare assignment?
Yes. Dr. Dustin Petersen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dustin Petersen commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.