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DR. MATTHEW JON PETERSON MD
NPI 1164041505
Urology in Alexandria, MN

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment
111 17TH AVE E, ALEXANDRIA, MN 56308(320) 763-2707(320) 763-7883 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2025, May 28, 2025, May 23, 2025 and 1 more (4 updates tracked since 2020).

About Dr. Matthew Jon Peterson Md NPPES

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

DR. MATTHEW JON PETERSON MD (NPI 1164041505) is an individual urology provider in Alexandria, Minnesota, licensed in Minnesota (79148) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Alomere Health, and is a graduate of University Of Minnesota Medical School (2020).

NPPES Registry Identity

NPI1164041505
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. MATTHEW JON PETERSONCredential: MD
Location Address111 17TH AVE EAlexandria, MN 56308-5273
Mailing Address610 30th Ave WAlexandria, MN 56308-3426 · (320) 763-2540 · Fax (320) 763-5749
Phone(320) 763-2707
Fax(320) 763-7883
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2020
Enumeration DateApril 15, 2020
Last NPPES UpdateAugust 29, 20254 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1164041505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MN · 79148
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
111 17TH AVE E, Alexandria, MN 56308
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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. Matthew Jon 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 ID4587173703
PECOS Enrollment IDI20250530001584
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 Matthew Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alomere Health
Same address
Otolaryngology/Facial Plastic Surgery
111 17TH AVE E STE 1
Alexandria, MN 56308
  • Reassigned Medicare billing, Minnesota enrollment
  • 137 clinicians in this Medicare group
NPI 1396610879 (320) 759-4326

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

Hospital Affiliations CMS Care Compare 5

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

Alomere Health

Acute Care Hospitals · Alexandria, MN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240030
Location111 17th Avenue EastAlexandria, MN 56308 · Douglas County
Emergency services Birthing friendly

Centracare Health System - Melrose Hospital

Critical Access Hospitals · Melrose, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241330
Location525 West Main StreetMelrose, MN 56352 · Stearns County
Emergency services Birthing friendly

Stevens Community Medical Center

Critical Access Hospitals · Morris, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241363
Location400 East First StreetMorris, MN 56267 · Stevens County
Emergency services Birthing friendly

Glacial Ridge Hospital

Critical Access Hospitals · Glenwood, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241376
Location10 4th Avenue SoutheastGlenwood, MN 56334 · Pope County
Emergency services

Prairie Ridge Hospital And Health Services

Critical Access Hospitals · Elbow Lake, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241379
Location1411 Highway 79 EElbow Lake, MN 56531 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56308 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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.

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.

MRS. AMBER MICHELLE-HOUGE BLOCK
Nurse Anesthetist, Certified Registered
111 17TH AVE E
ALEXANDRIA, MN 56308
Douglas County (320) 762-1144
ALISON F CHINN M.D.
Hospitalist
111 17TH AVE E
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
MEGHAN RUHR
Nurse Anesthetist, Certified Registered
111 17TH AVE E
ALEXANDRIA, MN 56308
Douglas County (320) 762-1511
NATHAN JEFFREY KING APRN, CRNA
Nurse Anesthetist, Certified Registered
111 17TH AVE E
ALEXANDRIA, MN 56308
Douglas County (320) 762-1511
DR. JAYME MICHAEL DANIELSON DO
Hospitalist
111 17TH AVE E
ALEXANDRIA, MN 56308
Douglas County (320) 762-1511
ISAM M ALAKHRAS MD
Hospitalist
111 17TH AVE E
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
DR. GREGORY STEVEN GESELL DO
Emergency Medicine
111 17TH AVE E
ALEXANDRIA, MN 56308
Douglas County (320) 762-1511
MITCHELL GESELL DO
Emergency Medicine
111 17TH AVE E
ALEXANDRIA, MN 56308
Douglas County (320) 762-1511

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 Matthew Peterson's NPI number?

The NPI number for Matthew Peterson is 1164041505. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Matthew Peterson located?

Matthew Peterson practices at 111 17th Ave E, Alexandria, MN 56308. The listed phone number is (320) 763-2707.

What is Matthew Peterson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Matthew Peterson enrolled in Medicare?

Yes. Matthew 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 Matthew Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Peterson reassigns Medicare benefits to Alomere Health (Alexandria, 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 Matthew Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Matthew Peterson affiliated with any hospitals?

According to CMS data, Matthew Peterson is affiliated with Alomere Health, Centracare Health System - Melrose Hospital, Stevens Community Medical Center, Glacial Ridge Hospital and Prairie Ridge Hospital And Health Services.

When was this NPI record last updated?

The NPPES record for Matthew Peterson was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.