DR. PETER TODD MATHISON D.D.S.
NPI 1104912609
Dentist in Fargo, ND

Active since October 04, 2006PECOS Enrolled
1351 PAGE DRIVE SOUTH, SUITE 102, FARGO, ND 58103(701) 478-4500(701) 478-4501 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Peter Todd Mathison D.d.s. NPPES

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

DR. PETER TODD MATHISON D.D.S. (NPI 1104912609) is an individual dentist in Fargo, North Dakota, licensed in North Dakota (1933) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104912609
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PETER TODD MATHISONCredential: D.D.S.
Location Address1351 PAGE DRIVE SOUTH, SUITE 102Fargo, ND 58103-3536
Mailing Address1351 Page Drive South, Suite 102Fargo, ND 58103-3536 · (701) 478-4500 · Fax (701) 478-4501
Fax(701) 478-4501
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104912609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in ND · 1933
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.
1351 PAGE DRIVE SOUTH, Fargo, ND 58103

Other Identifiers 2

Other901933ND · Dsc Of Nd
Other450484245-00001MN · Delta Dental Of Mn

Accepted 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)

Dr. Peter Todd Mathison 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 58103 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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 Peter Mathison's NPI number?

The NPI number for Peter Mathison is 1104912609. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Peter Mathison located?

Peter Mathison practices at 1351 Page Drive South Suite 102, Fargo, ND 58103. The listed phone number is (701) 478-4500.

What is Peter Mathison's specialty?

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

Is Peter Mathison enrolled in Medicare?

Yes. Peter Mathison is registered in the Medicare PECOS enrollment system.

What insurance does Peter Mathison accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Minnesota list Peter Mathison 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 Peter Mathison was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.