Timothy Warren Peterson, PA-C
NPI 1720388218ActiveIndividual· Physician Assistant· Union, KY
Physician Assistant (PA-C) with Summit Medical Group Inc, practicing in Union, Kentucky. 175 Medicare patients in 2024, $16,780 paid; nearly all of their 402 Part D prescriptions were generic (95%). Astrazeneca Pharmaceuticals LP reported $146.01 in payments in 2025, mostly food and beverage. Lists St Elizabeth Edgewood as a hospital affiliation.
Overview
| NPI | 1720388218 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 30, 2010 |
| Last updated in NPPES | Aug 3, 2026 |
| Certified by provider | Aug 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA1799 | KY |
| Physician Assistant | 363A00000X | 10001496A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IN); Practitioner - Physician Assistant (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 175 |
|---|---|
| Services billed | 233 across 33 procedure codes |
| Paid by Medicare | $16,780 |
Part D prescriptions in 2024
| Prescriptions (claims) | 402 · 415 30-day fills |
|---|---|
| Patients | 264 |
| Total drug cost | $2,857 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Summit Medical Group IncCrittenden, KY · 807 clinicians
Hospital affiliation
- St Elizabeth EdgewoodEdgewood, KY
Industry payments (Open Payments)
- 2025$146.01 · 3 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $146.01 | 3 |
What the 2025 payments were for
- Food and Beverage$146.01 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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