Doctor profile · Federal record
Dr. Jack Peterson, MD
Specialist (CMS: Plastic and Reconstructive Surgery) · Topeka, KS
- NPI 1508860487
- 43 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
631 Sw Horne St, Ste 400
Topeka, KS 666061661
(785) 234-9000
fax (785) 234-9119
Credentials & registration
- NPI registered
- June 2005 — 21 yrs on file
- Profile last updated
- April 24, 2012
- Year of graduation
- 1983 — 43 yrs since
- Specialty taxonomy
- 174400000X — NUCC code
- State license (1)
- Kansas #0422259
- Medicaid
- KS #100144860B
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508860487. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
39
Distinct HCPCS
2
Medicare allowed
$2,896
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 26 | 15 | $80 | |
99202 |
New patient office or other outpatient visit, 15-29 minutes | 13 | 13 | $63 |
In context: peer comparison
Among 1 peers in Topeka Specialist, average services per provider: 19. This provider delivers 2.1× the peer median.Open Payments
Industry payments received
All-time total
$530
Transactions
6
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Mesh Suture INC | 1 | $194.01 | |
| Mentor Worldwide LLC | 2 | $174.27 | |
| Musculoskeletal Transplant Foundation INC. | 1 | $134.10 | |
| Vertex Pharmaceuticals Incorporated | 1 | $13.96 | |
| Galderma Laboratories, L.P. | 1 | $13.49 |
By nature of payment
Frequently asked questions
What is Dr. Jack Peterson's medical specialty?
Dr. Jack Peterson practices Specialist in Topeka, KS.
Where does Dr. Jack Peterson practice?
Dr. Jack Peterson practices at 631 Sw Horne St, Topeka, KS 666061661. Office phone: 7852349000.
What is Dr. Jack Peterson's NPI?
Dr. Jack Peterson's National Provider Identifier (NPI) is 1508860487, issued by NPPES.
Does Dr. Jack Peterson accept Medicare assignment?
Dr. Jack Peterson does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Jack Peterson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99202). Source: CMS Medicare Physician & Other Practitioners file.