Provider Profile
Listed in the NPI registry as a physician assistant, Wiley D Petersen, PA-C practices in Chubbuck, ID. According to Medicare claims data, Wiley cared for 204 Medicare patients across 254 services.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Source: NPPES NPI Registry
134 W CHUBBUCK RD
Chubbuck, ID 83202
254 services · 204 patients · 6 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Insertion of needle into vein for collection of blood sample | Procedure | 36415 |
75 |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
56 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Billing code | G0439 |
41 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | Lab test | 85025 |
39 |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
24 |
| Hemoglobin a1c level | Lab test | 83036 |
19 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Petersen is a physician assistant in Chubbuck, ID. This is the primary taxonomy recorded against the NPI in the federal registry, listed there as “PHYSICIAN ASSISTANT”.
NPI registry
Dr. Petersen is listed at 134 W CHUBBUCK RD, Chubbuck, ID 83202. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (208) 417-0102. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Dr. Petersen's National Provider Identifier is 1568920080. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Petersen attended Other, graduating in 2018. This comes from the CMS National Downloadable File.
CMS public data
Dr. Petersen has 8 years experience. Calculated from a graduation year of 2018, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Petersen performs procedures including insertion of needle into vein for collection of blood sample, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Petersen. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.