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

Steve Leroy Peterson, MD

Individual provider Otolaryngology/Facial Plastic Surgery Physician · NPI 1306849500

Steve Leroy Peterson, MD is an Otolaryngology in Johnson City, Tennessee. Graduated from Medical University of South Carolina College of Medicine in 1998, 28 years ago. Practices with Tricities Skin and Cancer, a 15-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
28
Trained at
Medical University of South Carolina College of Medicine
Licensed in
TN
In the registry since
2005
Specialties on file
3
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

1009 N State Of Franklin Access Rd
Johnson City, TN 37604
Phone: (423) 929-7546
Fax: (423) 929-7968
Show map & directions

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

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence 39354 (TN)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X · Licence 39354 (TN)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 39354 (TN)

Record details

NPI number1306849500
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESNovember 5, 2014

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Tricities Skin And Cancer. — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount