Doctor profile · Federal record
Dr. Gregory Petersen, PHD
Clinical Psychologist · Roanoke, VA
- NPI 1275509804
- Accepts Medicare
- MIPS 91.3 / 100 · 2023
- 27 yrs in practice
- Male
- No sanctions
Practice & contact
- Primary practice
-
2017 Jefferson St Sw
Roanoke, VA 240142419
(540) 981-7097 - Mailing address
-
411 Washington Ave Sw
Roanoke, VA 240164217
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 103TC0700X — NUCC code
- State license (1)
- Virginia #0810-002774
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1275509804. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
123
Distinct HCPCS
3
Medicare allowed
$12,574
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90832 |
Psychotherapy, 30 minutes | 55 | 17 | $78 | |
90834 |
Psychotherapy, 45 minutes | 52 | 21 | $104 | |
90791 |
Psychiatric diagnostic evaluation | 16 | 16 | $181 |
In context: peer comparison
Among 7 peers in Roanoke Clinical Psychologist, average services per provider: 114. This provider delivers 1.1× the peer median.Frequently asked questions
What is Dr. Gregory Petersen's medical specialty?
Dr. Gregory Petersen practices Clinical Psychologist in Roanoke, VA.
Where does Dr. Gregory Petersen practice?
Dr. Gregory Petersen practices at 2017 Jefferson St Sw, Roanoke, VA 240142419. Office phone: 5409817097.
What is Dr. Gregory Petersen's NPI?
Dr. Gregory Petersen's National Provider Identifier (NPI) is 1275509804, issued by NPPES.
Does Dr. Gregory Petersen accept Medicare assignment?
Yes. Dr. Gregory Petersen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Gregory Petersen commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90832); Psychotherapy (HCPCS 90834); Psychiatric diagnostic evaluation (HCPCS 90791). Source: CMS Medicare Physician & Other Practitioners file.