Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. WAYNE MICHAEL PETERSON DMD
NPI 1235179466
Dentist - General Practice in Moscow, ID

Q: What is Wayne Peterson's NPI number?

The NPI number for Wayne Peterson is 1235179466. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Wayne Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Wayne Peterson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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 June 07, 2006PECOS Enrolled

1138 W A ST, MOSCOW, ID 83843(208) 882-9310(208) 882-8601 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Wayne Michael Peterson Dmd NPPES

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

DR. WAYNE MICHAEL PETERSON DMD (NPI 1235179466) is an individual general practice provider in Moscow, Idaho, licensed in Idaho (D-1686) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235179466

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. WAYNE MICHAEL PETERSONCredential: DMD

Location Address1138 W A STMoscow, ID 83843-2127

Mailing Address1138 W A StMoscow, ID 83843-2127 · (208) 882-9310 · Fax (208) 882-8601

Phone(208) 882-9310

Fax(208) 882-8601

Sole ProprietorNo

Enumeration DateJune 7, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1235179466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ID · D-1686

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1138 W A ST, Moscow, ID 83843

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Wayne Michael Peterson Dmd 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 83843 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 Wayne Peterson's NPI number?

The NPI number for Wayne Peterson is 1235179466. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Wayne Peterson located?

Wayne Peterson practices at 1138 W A St, Moscow, ID 83843. The listed phone number is (208) 882-9310.

What is Wayne Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Wayne Peterson enrolled in Medicare?

Yes. Wayne Peterson is registered in the Medicare PECOS enrollment system.

What insurance does Wayne Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Wayne Peterson 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 Wayne Peterson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.