Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Peterson, MD

Individual provider Orthopaedic Surgery Physician · NPI 1023379849

Blake Peterson, MD is an Orthopedic Surgery in Arlington, Virginia. Graduated from University of Missouri, Columbia School of Medicine in 2012, 14 years ago. Practices with Orthopedic and Sports Medicine Center LLC, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
MO
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2445 Army Navy Dr
Arlington, VA 22206-2905
Phone: (703) 892-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2501 Parkers Ln # 200, Alexandria, VA 22306-3209 — (703) 892-6500

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 2012015918 (MO)

Record details

NPI number1023379849
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2012
Last updated in NPPESMarch 17, 2018
Mailing address1100 Virginia Ave, Columbia, MO 65212-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Orthopedic And Sports Medicine Center Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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