Individual provider

Kevin Petersen, D.O.

Surgery Physician Medicare enrolled

Kevin Petersen, D.O. is a Surgery Physician in Pensacola, FL, registered under NPI 1356778419.

Getting there

The practice address on file is 220 HOVEY RD FL 32508, Pensacola, FL 32508. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

220 HOVEY RD FL 32508, Pensacola, FL 32508 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
DO3578 NV Surgery Physician primary
294233 NY Surgery Physician

Licences are recorded in 2 states: NV, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - General Surgery
PAC ID
8426389495
Enrollment ID
I20240821001320

Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Nevada and New York. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NV Nevada
Licence
DO3578
Specialty
Surgery Physician
Verify with the NV board →
NY New York
Licence
294233
Specialty
Surgery Physician
Verify with the NY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Surgery covers

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NUCC Health Care Provider Taxonomy, code 208600000X
Allopathic & Osteopathic Physicians Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208600000X Surgery Physician DO3578 NV primary
208600000X Surgery Physician 294233 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1356778419 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 3, 2013
Last updatedJul 30, 2025
StatusActive
Sole proprietorNo
CredentialD.O.
Practice address 220 HOVEY RD FL 32508
Pensacola, FL 32508
(850) 452-9484
This record was updated on Jul 30, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1356778419 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 5 6 7 7 8 4 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 1 6 5 7 7 4 2

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1356778419?
NPI 1356778419 is the National Provider Identifier assigned to Kevin Petersen, D.O. in Pensacola, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgery Physician cover?
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical…
How do I contact Kevin Petersen, D.O.?
The phone number on file with NPPES is (850) 452-9484, last updated Jul 30, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kevin Petersen, D.O. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1356778419 a valid number?
Yes. 1356778419 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.