Doctor profile · Federal record
Dr. Mark Peterson, PA-C
Physician Assistant · Kenosha, WI
- NPI 1740397140
- 37 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
7540 22Nd Ave
Kenosha, WI 53143
(262) 656-7800
fax (262) 656-7810 - Mailing address
-
Po Box 735044
Chicago, IL 606735044
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- April 18, 2024
- Year of graduation
- 1989 — 37 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Wisconsin #575-023
- Medicaid
- WI #42924400
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1740397140. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
892
Distinct HCPCS
10
Medicare allowed
$73,775
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 300 | 185 | $72 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 223 | 143 | $102 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 162 | 162 | $103 | |
G0008 |
Administration of influenza virus vaccine | 63 | 62 | $28 | |
90662 |
Influenza vaccine split virus, preservative free | 57 | 56 | $70 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 35 | 34 | $12 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | 14 | $281 | |
G0009 |
Administration of pneumococcal vaccine | 14 | 14 | $29 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 12 | 12 | $46 | |
G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 12 | 12 | $135 |
In context: peer comparison
Among 15 peers in this city , average services per provider: 71. This provider delivers 13× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
2,809
Patients
781
Total drug cost
$206,431
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 435 | 111 | $5,083 |
| Losartan Potassium | Generic | 252 | 67 | $3,416 |
| Omeprazole | Generic | 231 | 65 | $3,540 |
| Rosuvastatin Calcium | Generic | 213 | 60 | $3,382 |
| Gabapentin | Generic | 209 | 53 | $4,185 |
| Amlodipine Besylate | Generic | 205 | 57 | $1,340 |
| Levothyroxine Sodium | Generic | 202 | 50 | $3,073 |
| Metoprolol Succinate | Generic | 151 | 43 | $2,757 |
| Metformin Hcl | Generic | 147 | 48 | $1,733 |
| Trulicity (Dulaglutide) | Brand | 145 | 21 | $170,088 |
Hospital affiliations
Frequently asked questions
What is Dr. Mark Peterson's medical specialty?
Dr. Mark Peterson practices Physician Assistant in Kenosha, WI.
Where does Dr. Mark Peterson practice?
Dr. Mark Peterson practices at 7540 22Nd Ave, Kenosha, WI 53143. Office phone: 2626567800.
What is Dr. Mark Peterson's NPI?
Dr. Mark Peterson's National Provider Identifier (NPI) is 1740397140, issued by NPPES.
Does Dr. Mark Peterson accept Medicare assignment?
Dr. Mark Peterson does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Mark Peterson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.