Doctor profile · Federal record
Dr. Jefferson Petersen, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Springfield, MO
- NPI 1528490711
- Accepts Medicare
- 13 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1235 E Cherokee St
Springfield, MO 658042203
(417) 820-2829
fax (417) 820-8852 - Mailing address
-
Po Box 2580
Springfield, MO 658012580
Credentials & registration
- NPI registered
- July 2013 — 13 yrs on file
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Missouri #2013025606
- Medicaid
- MO #PENDING
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1528490711. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
34
Distinct HCPCS
2
Medicare allowed
$3,828
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00142 |
Anesthesia for lens surgery | 23 | 23 | $126 | |
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 11 | 11 | $84 |
In context: peer comparison
Among 42 peers in Springfield Certified Registered Nurse Anesthetist, average services per provider: 39. This provider delivers 0.9× the peer median.Open Payments
Industry payments received
All-time total
$35
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 2 | $35.28 |
By nature of payment
Frequently asked questions
What is Dr. Jefferson Petersen's medical specialty?
Dr. Jefferson Petersen practices Certified Registered Nurse Anesthetist in Springfield, MO.
Where does Dr. Jefferson Petersen practice?
Dr. Jefferson Petersen practices at 1235 E Cherokee St, Springfield, MO 658042203. Office phone: 4178202829.
What is Dr. Jefferson Petersen's NPI?
Dr. Jefferson Petersen's National Provider Identifier (NPI) is 1528490711, issued by NPPES.
Does Dr. Jefferson Petersen accept Medicare assignment?
Yes. Dr. Jefferson Petersen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jefferson Petersen commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for lens surgery (HCPCS 00142); Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811). Source: CMS Medicare Physician & Other Practitioners file.