EXCLUDEDPROVIDER
Individual Revocation

Don C Petersen

Shawnee Mission, KS 66207

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Don C Petersen of Shawnee Mission, KS is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of August 2, 1989.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Shawnee Mission, KS 66207
Exclusion date
August 2, 1989
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Don C Petersen appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Shawnee Mission, Kansas. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is August 2, 1989, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateAugust 2, 1989
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
UPIND16846
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Shawnee Mission, KS 66207. The listed provider category is Medical Practice, MD. The listed specialty is General Practice / FP.

Other excluded providers in Shawnee Mission, KS

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Shawnee Mission, KS address.

J Springer, MD PA Entity Controlled Entity
Shawnee Mission, KS · Entities controlled by a sanctioned individual · Excluded Oct 2007
Phlebologic Institute Of The M Entity Controlled Entity
Shawnee Mission, KS · Entities controlled by a sanctioned individual · Excluded Aug 2007
Lawrence Leon Tretbar Individual Revocation
Shawnee Mission, KS · License revocation, suspension, or surrender · Excluded Jul 2006
Rachel Elizabeth Hayes Individual Revocation
Shawnee Mission, KS · License revocation, suspension, or surrender · Excluded Jul 2003
Robert A Rosevear Individual Kickbacks
Shawnee Mission, KS · Fraud, kickbacks, and other prohibited activities · Excluded Aug 2001
Edgard M Jr King Individual Loan Default
Shawnee Mission, KS · Default on health education loan or scholarship obligations · Excluded Sep 2000

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify with HHS-OIG Remove / correct this record

Related

More Excluded Individuals in Kansas More Records in Shawnee Mission More Revocation Records