KURT R PETERSON MD
NPI 1073565412
Family Medicine in Chisago City, MN

Q: What is Kurt Peterson's NPI number?

The NPI number for Kurt Peterson is 1073565412. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Kurt Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kurt Peterson was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 May 16, 2006PECOS Enrolled

11725 STINSON AVE, CHISAGO CITY, MN 55013(651) 257-8499 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kurt R Peterson Md NPPES

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

KURT R PETERSON MD (NPI 1073565412) is an individual family medicine provider in Chisago City, Minnesota, licensed in Minnesota (29636) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073565412

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKURT R PETERSONCredential: MD

Location Address11725 STINSON AVEChisago City, MN 55013-9542

Mailing Address5200 Fairview BlvdWyoming, MN 55092-8013

Phone(651) 257-8499

Sole ProprietorNo

Enumeration DateMay 16, 2006

Last NPPES UpdateJune 16, 2008

✔ NPI 1073565412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 29636

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11725 STINSON AVE, Chisago City, MN 55013

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Other Identifiers 1

Medicare UPIND75489MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kurt R Peterson Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Kurt Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairview Health Services

7.7 mi

General Acute Care Hospital

5200 FAIRVIEW BLVD
Wyoming, MN 55092

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1083692941 (651) 982-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55013 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

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 16

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

KARLA JEAN LIND CNP

Nurse Practitioner (Family)