Wiley D. Petersen, PA-C
- Medicare patients, 2024
- 93
- Part D claims, 2024
- 2,006
- Hospital affiliations
- 2
- Industry payments
- $238
- Medical groups
- 2
- Practice address
- 495 Yellowstone Ave, Pocatello, ID 83201
- Practice phone
- Call (208) 478-7422
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Mvh Pic
Pocatello, Idaho
Find Wiley Petersen's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Wiley D. Petersen is a physician assistant in Pocatello, Idaho
Wiley Petersen practices at Mvh Pic in Pocatello, Idaho.
Wiley Petersen's NPI, 1568920080, was assigned on March 4, 2019. Wiley Petersen holds Idaho license PA-1714.
- NPI
- 1568920080NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7618209156
- NPI enumeration date
- March 4, 2019
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (208) 478-7422
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 34
- Medical school graduation
- 2018
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Wiley D. Petersen practices at Mvh Pic in Pocatello, Idaho
Wiley Petersen's primary practice is Mvh Pic, at 495 Yellowstone Ave, Pocatello, ID 83201 in Bannock County. The practice phone is (208) 478-7422.
- Mvh Pic495 Yellowstone Ave, Pocatello, ID 83201 · Bannock CountyPhone(208) 478-7422
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Wiley D. Petersen is affiliated with 5 sites of care and 2 medical groups
Wiley Petersen's primary practice is Mvh Pic in Pocatello, Idaho. Wiley Petersen is also affiliated with Portneuf Medical Center. The medical group on file is Physicians Immediate Care Center. Dmand AI also links Wiley Petersen to 1 more hospital, 2 group practices and clinics and 1 medical group, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Wiley D. Petersen's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Wiley Petersen practices, 4 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Mvh Pic | Available with a free account |
| +4 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Wiley D. Petersen is one of 1,164 physician assistants in Idaho
Physician assistant is Wiley Petersen's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Wiley Petersen is licensed in Idaho.
Specialties and state licenses
- Physician assistant, IdahoPrimary
Physician assistants near Wiley Petersen
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Wiley D. Petersen treated 93 Medicare patients in 2024, average age 73
CMS counts 93 Medicare patients who saw Wiley Petersen in 2024. The largest group is 65 to 74, with 52 patients. 58% of them have high blood pressure, and 51% have high cholesterol. Their average risk score is 0.95, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Wiley Petersen's median patient age at 68, with 56% women.
Wiley Petersen's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Wiley Petersen's Medicare patients by sex, 2024
- Women5660%
- Men3740%
Chronic conditions among Wiley Petersen's Medicare patients, 2024
- High blood pressure58%
- High cholesterol51%
- Arthritis49%
- Mood disorders27%
- Anxiety26%
- Diabetes26%
- Depression25%
- Ischemic heart disease22%
Share of Medicare patients with each condition. A patient can have several.
Wiley Petersen's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 68
Patient panel by sex, all payers
- Women56%
- Men44%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Wiley D. Petersen wrote 2,006 Medicare Part D claims in 2024
In 2024, Wiley Petersen wrote 2,006 Medicare Part D claims for 177 patients. 83% of them were for generic drugs.
Wiley Petersen's Part D claims by kind of drug, 2024
- Generic1,668 claims83%
- Brand-name320 claims16%
- Other18 claims1%
Drug classes CMS tracks in Wiley Petersen's Part D claims, 2024
- Opioids4%71 of 2,006 claims
- Antibiotics1%22 of 2,006 claims
- Antipsychotics, patients 65 and over2%38 of 2,006 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data
How Wiley D. Petersen takes part in Medicare
Wiley Petersen accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
For MedTech and pharma teams
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Wiley D. Petersen received $238 in industry payments in 2025
CMS Open Payments shows 13 general payments to Wiley Petersen from 5 drug and device companies in 2025. Food and beverage make up the largest share, 100% of the total. Abbvie Inc. paid the most, $88.
Companies that paid Wiley Petersen the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Wiley D. Petersen's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Wiley D. Petersen
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Wiley D. Petersen's NPI number?
Wiley D. Petersen's NPI number is 1568920080. It was assigned on March 4, 2019, and it is active in the NPI Registry.
What does Wiley D. Petersen specialize in?
Wiley D. Petersen is a physician assistant in Pocatello, Idaho. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Wiley D. Petersen practice?
Wiley Petersen practices at 495 Yellowstone Ave, Pocatello, ID 83201. Wiley Petersen's primary practice is Mvh Pic in Pocatello, Idaho. Dmand AI also links Wiley Petersen to 1 hospital, 2 group practices and clinics and 1 medical group.
What is Wiley D. Petersen's office phone number?
The practice phone on file for Wiley Petersen is (208) 478-7422.
What is Wiley D. Petersen's medical license number?
Wiley Petersen holds Idaho license PA-1714.
Which hospitals is Wiley D. Petersen affiliated with?
Wiley Petersen is affiliated with Portneuf Medical Center. Dmand AI links Wiley Petersen to 1 more hospital.
What medical group is Wiley D. Petersen part of?
Wiley Petersen is linked to Physicians Immediate Care Center. Dmand AI links Wiley Petersen to 1 more medical group.
Does Wiley D. Petersen accept Medicare?
Yes. CMS lists Wiley Petersen as accepting Medicare assignment.
How many Medicare patients does Wiley D. Petersen see?
CMS counts 93 Medicare patients who saw Wiley Petersen in 2024, with an average age of 73.
Has Wiley D. Petersen received payments from drug or device companies?
CMS Open Payments shows $238 in general payments to Wiley Petersen from 5 companies from 2025 to 2025. The largest total came from Abbvie Inc.
How long has Wiley D. Petersen been practicing?
Wiley Petersen graduated from medical school in 2018, 8 years ago.
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