TIMOTHY A PETERSON MD
NPI 1134211568
Preventive Medicine - Addiction Medicine in Grand Forks, ND

Q: What is Timothy Peterson's NPI number?

The NPI number for Timothy Peterson is 1134211568. It was assigned to this individual provider in the NPPES registry on September 30, 2006.

Q: What is Timothy Peterson's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Peterson was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 September 30, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

3674 S WASHINGTON ST, GRAND FORKS, ND 58201(701) 205-3000(701) 732-2501 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2026, Jan 21, 2026, Sep 12, 2025 and 4 more (7 updates tracked since 2020).

On this page

About Timothy A Peterson Md NPPES

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

TIMOTHY A PETERSON MD (NPI 1134211568) is an individual addiction medicine provider in Grand Forks, North Dakota, licensed in North Dakota (7777) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Hans P Peterson Memorial Hospital - Cah, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134211568

Entity TypeIndividualMale

Primary Taxonomy2083A0300X

Provider Legal NameTIMOTHY A PETERSONCredential: MD

Location Address3674 S WASHINGTON STGrand Forks, ND 58201-5766

Mailing AddressPo Box 5210Grand Forks, ND 58206-5210 · (701) 205-3000 · Fax (701) 732-2501

Phone(701) 205-3000

Fax(701) 732-2501

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateSeptember 30, 2006

Last NPPES UpdateApril 13, 20267 updates tracked since enumeration

NPPES CertifiedApril 13, 2026

✔ NPI 1134211568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0300X

License✔ Licensed in ND · 7777

Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 7777 (ND)

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 7777 (ND)

3674 S WASHINGTON ST, Grand Forks, ND 58201

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1508 Upland StKenai, AK 99611-8026 · Phone (907) 335-7500

Location 2206 W Rockwell AveSoldotna, AK 99669-7439 · Phone (907) 335-7500

Other Identifiers 2

Medicaid1694259AK

Medicaid1456145ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of North Dakota and more.Insurance ›

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

Timothy A Peterson Md 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 ID9739197567

PECOS Enrollment IDI20060405000101, I20130731000600, I20191003002801, I20200317000393, I20230816002430, I20240617003833, I20251201001976

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 Reassignments

Medicare enrollment records show Timothy Peterson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peterson Medical Clinics, LLC

Same address

Multi-Specialty

3674 S WASHINGTON ST
Grand Forks, ND 58201

Reassigned Medicare billing, Alaska, Illinois, Minnesota, Montana, North Dakota, South Dakota and Utah enrollments
70 clinicians in this Medicare group

NPI 1699295774 (701) 205-3000

Towner County Medical Center Inc

108 mi

Rural Health

228 1ST AVE
Cando, ND 58324

Reassigned Medicare billing, North Dakota enrollment
16 clinicians in this Medicare group

NPI 1124041389 (701) 698-2541

Astera Health

122 mi

Rural Health

232 MN HIGHWAY 78 N
Ottertail, MN 56571

Reassigned Medicare billing, Minnesota enrollment
202 clinicians in this Medicare group

NPI 1871546663 (218) 367-6262

Cowlitz Indian Tribe

1,217 mi

Rehabilitation, Substance Use Disorder

7105 NE 40TH ST
Vancouver, WA 98661

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Bristol Bay Area Health Corporation
360 clinicians in this Medicare group

NPI 1538412630 (360) 353-9431

Eastern Aleutian Tribes, Inc

1,454 mi

Clinic/Center

172 MAIN STREET
Sand Point, AK 99661

Reassigned Medicare billing, Texas enrollment
50 clinicians in this Medicare group

NPI 1346662608 (907) 383-3515

Municipality Of Skagway

1,731 mi

Federally Qualified Health Center (FQHC)

350 14TH AVENUE
Skagway, AK 99840

Reassigned Medicare billing, Alaska enrollment
28 clinicians in this Medicare group

NPI 1063574200 (907) 983-2255

Kenaitze Indian Tribe

2,280 mi

Federally Qualified Health Center (FQHC)

206 W ROCKWELL AVE
Soldotna, AK 99669

Reassigned Medicare billing, Alaska enrollment
40 clinicians in this Medicare group

NPI 1194603076 (907) 335-7200

Norton Sound Health Corporation

2,709 mi

Critical Access

1000 GREG KRUSCHEK AVE
Nome, AK 99762

Reassigned Medicare billing, Alaska enrollment
Also billed through NPI 1225101041 (Alaska)
193 clinicians in this Medicare group

NPI 1154358232 (907) 443-3311

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 4

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 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.

496 services144 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

459 services154 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

188 services50 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

17 services13 patients

Hospital Affiliations CMS Care Compare

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

Hans P Peterson Memorial Hospital - Cah

Critical Access Hospitals · Philip, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431319

Location503 W Pine Post Office Box 790Philip, SD 57567 · Haakon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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

$127.45 typical visit price

range $55.75 – $168.12

Typical copayment $31.86 (range $13.93 – $42.03)

Most-billed visit code 99204

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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.

SHERBIE DARBOUZE PA-C

Physician Assistant