KATIE DAWN PETERSON D.D.S
NPI 1033471263
Dentist - General Practice in Mountain Grove, MO

Q: What is Katie Peterson's NPI number?

The NPI number for Katie Peterson is 1033471263. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Q: What is Katie Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Katie Peterson was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 13, 2012PECOS Enrolled

920 N MAIN ST, MOUNTAIN GROVE, MO 65711(417) 926-4910(417) 926-4399 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Katie Dawn Peterson D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE DAWN PETERSON D.D.S (NPI 1033471263) is an individual general practice provider in Mountain Grove, Missouri, licensed in Missouri (2012015429) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033471263

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameKATIE DAWN PETERSONCredential: D.D.S

Location Address920 N MAIN STMountain Grove, MO 65711-1315

Mailing Address920 N Main StMountain Grove, MO 65711-1315 · (417) 926-4910

Phone(417) 926-4910

Fax(417) 926-4399

Sole ProprietorYes

Enumeration DateJune 13, 2012

✔ NPI 1033471263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 2012015429

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

920 N MAIN ST, Mountain Grove, MO 65711

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Dawn Peterson D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATIE D. PETERSON, DDS, PC

Dentist (General Practice)

920 N MAIN ST
MOUNTAIN GROVE, MO 65711

Wright County (417) 926-4910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Peterson's NPI number?

The NPI number for Katie Peterson is 1033471263. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Katie Peterson located?

Katie Peterson practices at 920 N Main St, Mountain Grove, MO 65711. The listed phone number is (417) 926-4910.

What is Katie Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Katie Peterson enrolled in Medicare?

Yes. Katie Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katie Peterson was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.