Matthew Shane Peterson, M.D
NPI 1255319828ActiveIndividual· Obstetrics & Gynecology· Kennesaw, GA
Obstetrics & Gynecology (M.D) in Kennesaw, Georgia, trained at University of Tennessee, Hsc, College of Medicine (class of 1997). Part D covered 49 prescriptions written in 2024, 88% of them generic. Minerva Surgical, Inc reported $195.58 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1255319828 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | No |
| NPI issued | Jan 4, 2006 |
| Last updated in NPPES | Jan 22, 2025 |
| Certified by provider | Dec 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | 85640 | GA |
| Obstetrics & Gynecology | 207V00000X | 200200772 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Obstetrics/Gynecology (GA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 49 · 65 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $1,523 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | University of Tennessee, Hsc, College of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Obstetrics/Gynecology |
Medical group
- The Southeast Permanente Medical GroupJonesboro, GA · 812 clinicians
Industry payments (Open Payments)
- 2025$195.58 · 1 payment from 1 company
- 2024$224.08 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Minerva Surgical, Inc | $195.58 | 1 |
What the 2025 payments were for
- Food and Beverage$195.58 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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