Doctor profile · Federal record

Dr. KATHRYN PETERSON, PA-C

Physician Assistant · Physician Assistant · VERMILLION, SD

  • NPI 1093302630
  • Accepts Medicare
  • 6 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
20 S PLUM ST
VERMILLION, SD 570693346
(605) 677-3700
Mailing address
PO BOX 5074
SIOUX FALLS, SD 571175074

Credentials & registration

NPPES · NUCC
NPI registered
December 2020 — 6 yrs on file
Profile last updated
October 27, 2025
Year of graduation
2020 — 6 yrs since
Specialty taxonomy
363A00000X — NUCC code
State licenses (2)
Minnesota #13545 · South Dakota #1652

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1093302630. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
44
Distinct HCPCS
2
Medicare allowed
$4,005
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 23 19 $106
99213 Established patient office or other outpatient visit, 20-29 minutes 21 16 $75

In context: peer comparison

Among 2 peers in this city , average services per provider: 41. This provider delivers 1.1× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
653
Patients
220
Total drug cost
$9,182
Drug Type Claims Patients Total cost
Levothyroxine Sodium Generic 104 28 $1,535
Atorvastatin Calcium Generic 68 20 $902
Lisinopril Generic 52 21 $821
Amlodipine Besylate Generic 43 13 $326
Prednisone Generic 42 24 $220
Hydrochlorothiazide Generic 39 16 $232
Omeprazole Generic 39 14 $688
Cephalexin Generic 38 33 $276
Pravastatin Sodium Generic 38 12 $624
Metformin Hcl Generic 36 12 $586