Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Kyle Petersen, DO

Individual provider Family Medicine Physician · NPI 1790032530

Dr. Kyle Petersen, DO is registered under Family Practice in Weston, Florida. Qualified in 2011, 15 years ago. Practices with Emergency Medicine Services of Fl LLC, a 665-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

55 Weston Rd Ste 101
Weston, FL 33326-1112
Phone: (954) 280-2230
Fax: (954) 960-6355
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS11815 (FL)

Record details

NPI number1790032530
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 10, 2012
Last updated in NPPESSeptember 2, 2026
Certification dateSeptember 2, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Emergency Medicine Services Of Fl Llc — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients144
Services billed 207 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Boca Raton Regional Hospital Hospital · Boca Raton, FL
  • Hca Florida Lehigh Hospital Hospital · Lehigh Acres, FL
  • Hca Florida Raulerson Hospital Hospital · Okeechobee, FL

Colleagues at Emergency Medicine Services of Fl LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 665 clinicians in the practice; 12 are shown here.

Other providers in Weston