1. Home
  2. Directory
  3. Minnesota
  4. Blaine
  5. Podiatrist
  6. NPI Profile

DR. PAUL H PETERSON DPM
NPI 1083902126
Podiatrist in Blaine, MN

Active since July 11, 2011PECOS EnrolledAccepts Medicare Assignment
1420 109TH AVE NE STE 100, BLAINE, MN 55449(763) 581-5880(763) 581-5551 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Paul H Peterson Dpm NPPES

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

DR. PAUL H PETERSON DPM (NPI 1083902126) is an individual podiatrist in Blaine, Minnesota, licensed in Minnesota (912) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1083902126
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. PAUL H PETERSONCredential: DPM
Location Address1420 109TH AVE NE STE 100Blaine, MN 55449-3603
Mailing Address1420 109th Ave Ne Ste 100Blaine, MN 55449-3603
Phone(763) 581-5880
Fax(763) 581-5551
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 11, 2011
Last NPPES UpdateDecember 17, 2014
✔ NPI 1083902126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MN · 912
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1420 109TH AVE NE STE 100, Blaine, MN 55449
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul H Peterson Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547493389
PECOS Enrollment IDI20140502000437
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 Paul Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Memorial Health Care
11 mi
Surgery
3300 OAKDALE AVE N
Robbinsdale, MN 55422
  • Reassigned Medicare billing, Minnesota enrollment
  • 540 clinicians in this Medicare group
NPI 1629352489 (763) 520-5200

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
71 services49 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services30 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
38 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
27 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Maple Grove Hospital

Acute Care Hospitals · Maple Grove, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240214
Location9875 Hospital DriveMaple Grove, MN 55369 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55449 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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 Paul Peterson's NPI number?

The NPI number for Paul Peterson is 1083902126. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Where is Paul Peterson located?

Paul Peterson practices at 1420 109th Ave NE Ste 100, Blaine, MN 55449. The listed phone number is (763) 581-5880.

What is Paul Peterson's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Paul Peterson enrolled in Medicare?

Yes. Paul Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Paul Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Peterson reassigns Medicare benefits to North Memorial Health Care (Robbinsdale, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Paul Peterson affiliated with any hospitals?

According to CMS data, Paul Peterson is affiliated with North Memorial Health Hospital and Maple Grove Hospital.

When was this NPI record last updated?

The NPPES record for Paul Peterson was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.