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

Scott William Peterson, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1174528780

Scott William Peterson, MD is a Diagnostic Radiology in Davenport, Florida. Graduated from Tulane University School of Medicine in 1992, 34 years ago. Practices with Proscan Nch Imaging LLC, a 103-clinician group and accepts Medicare assignment. Licensed in Florida and Louisiana.

Years since qualifying
34
Trained at
Tulane University School of Medicine
Licensed in
FL, LA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

40100 US-27
Davenport, FL 33837
Phone: (352) 265-0290
Fax: (352) 265-0279
Show map & directions

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

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence ME80915 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 21748 (LA)

Record details

NPI number1174528780
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 20, 2005
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing addressPo Box 918025, Orlando, FL 32891-8025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Proscan Nch Imaging Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare