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TONY LEROY PETERSON DDS
NPI 1053302075
Dentist - Oral and Maxillofacial Surgery in Colorado Springs, CO

Active since October 31, 2005PECOS Enrolled
1050 S 8TH ST, COLORADO SPRINGS, CO 80905(719) 633-8455 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tony Leroy Peterson Dds NPPES

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

TONY LEROY PETERSON DDS (NPI 1053302075) is an individual oral and maxillofacial surgery provider in Colorado Springs, Colorado, licensed in Colorado (10364) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053302075
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTONY LEROY PETERSONCredential: DDS
Location Address1050 S 8TH STColorado Springs, CO 80905-7307
Mailing Address1050 S 8th StColorado Springs, CO 80905-7307 · (719) 633-8455
Phone(719) 633-8455
Sole ProprietorNo
Enumeration DateOctober 31, 2005
Last NPPES UpdateJanuary 29, 2014
✔ NPI 1053302075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in CO · 10364✔ Licensed in WY · 1236
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1050 S 8TH ST, Colorado Springs, CO 80905
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Other Identifiers 1

Medicare UPINVAD000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tony Leroy Peterson Dds 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 80905 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 4

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

DR. QUENTIN MICHAEL FUHS DDS
Dentist (Endodontics)
1050 S 8TH ST
COLORADO SPRINGS, CO 80905
El Paso County (719) 633-8455
DR. ANDREA FAYE MONTANO DDS
Dentist
1050 S 8TH ST
COLORADO SPRINGS, CO 80905
El Paso County (719) 633-8455
WILLIAM R. HILTON DDS
Dentist (General Practice)
1050 S 8TH ST
COLORADO SPRINGS, CO 80905
El Paso County (719) 633-8455
DR. WILLIAM CHRISTOPHER DYER DDS
Dentist (General Practice)
1050 S 8TH ST
COLORADO SPRINGS, CO 80905
El Paso County (719) 370-8920

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 Tony Peterson's NPI number?

The NPI number for Tony Peterson is 1053302075. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Tony Peterson located?

Tony Peterson practices at 1050 S 8th St, Colorado Springs, CO 80905. The listed phone number is (719) 633-8455.

What is Tony Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Tony Peterson enrolled in Medicare?

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

What insurance does Tony Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Tony Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tony Peterson was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.