GREGORY MATTHEW PETERSON M.D.
NPI 1245467141
Emergency Medicine in Waconia, MN

Q: What is Gregory Peterson's NPI number?

The NPI number for Gregory Peterson is 1245467141. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Q: What is Gregory Peterson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Peterson was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 18, 2009PECOS EnrolledAccepts Medicare Assignment

500 S MAPLE ST, EMPAC, RIDGEVIEW MEDICAL CENTER, WACONIA, MN 55387(952) 442-2191 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Gregory Matthew Peterson M.d. NPPES

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

GREGORY MATTHEW PETERSON M.D. (NPI 1245467141) is an individual emergency medicine provider in Waconia, Minnesota, licensed in Minnesota (55134) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and is a graduate of University Of Minnesota Medical School (2009).

NPPES Registry Identity

NPI1245467141

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameGREGORY MATTHEW PETERSONCredential: M.D.

Location Address500 S MAPLE ST, EMPAC, RIDGEVIEW MEDICAL CENTERWaconia, MN 55387-1752

Mailing Address500 S Maple St, Empac, Ridgeview Medical CenterWaconia, MN 55387-1752 · (952) 442-2191

Phone(952) 442-2191

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2009

Enumeration DateJune 18, 2009

Last NPPES UpdateAugust 8, 2012

✔ NPI 1245467141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MN · 55134

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

500 S MAPLE ST, Waconia, MN 55387

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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

Gregory Matthew Peterson M.d. 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 ID8224284096

PECOS Enrollment IDI20120809000760

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 Gregory Peterson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ridgeview Medical Center

Same address

General Acute Care Hospital

500 S MAPLE ST
Waconia, MN 55387

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

NPI 1275608457 (952) 442-2191

Sibley Medical Center

22 mi

Critical Access

601 WEST CHANDLER STREET
Arlington, MN 55307

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

NPI 1740240225 (507) 964-2271

Minnesota Valley Health Center Inc

27 mi

Medicare Defined Swing Bed Unit

621 S 4TH ST
Le Sueur, MN 56058

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

NPI 1215097902 (507) 665-3375

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 3

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

54 services54 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

53 services53 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

38 services38 patients

Hospital Affiliations CMS Care Compare

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

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240056

Location500 South Maple StreetWaconia, MN 55387 · Carver County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55387 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

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$16.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. JEFFREY DUANE MARTIN CRNA

Nurse Anesthetist, Certified Registered