DR. THOMAS LAWRENCE PETERSON
NPI 1083844161
Dentist in Louisville, KY

Q: What is Thomas Peterson's NPI number?

The NPI number for Thomas Peterson is 1083844161. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Q: What is Thomas Peterson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Thomas Peterson enrolled in Medicare?

No. Thomas Peterson has opted out of Medicare through May 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Thomas Peterson was last updated on July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 July 22, 2009Opted out of Medicare · through May 16, 2028

501 S PRESTON ST, LOUISVILLE, KY 40202(502) 852-5128 Get Directions Write a Review

NPPES record last updated: July 22, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Thomas Lawrence Peterson NPPES

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

DR. THOMAS LAWRENCE PETERSON (NPI 1083844161) is an individual dentist in Louisville, Kentucky, licensed in Kentucky (8811) and active in the NPI registry since July 2009. He has opted out of Medicare through May 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083844161

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. THOMAS LAWRENCE PETERSON

Location Address501 S PRESTON STLouisville, KY 40202-1701

Mailing Address2225 Dorothy Ave Apt 4Louisville, KY 40205-1943 · (478) 318-0129

Phone(502) 852-5128

Sole ProprietorNo

Enumeration DateJuly 22, 2009

✔ NPI 1083844161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in KY · 8811

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

501 S PRESTON ST, Louisville, KY 40202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Thomas Lawrence Peterson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 16, 2016 through May 16, 2028.

Opt-Out Effective DateMay 16, 2016

Opt-Out In Effect ThroughMay 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 20

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

DR. MOLLY W BRAUN DMD

Dentist