BRYAN TUTT PETERSEN MD
NPI 1356339436
Family Medicine in Glencoe, MN

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
1805 HENNEPIN AVE N, GLENCOE REGIONAL HEALTH SERVICES, GLENCOE, MN 55336(320) 864-3121(320) 864-7887 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bryan Tutt Petersen Md NPPES

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

BRYAN TUTT PETERSEN MD (NPI 1356339436) is an individual family medicine provider in Glencoe, Minnesota, licensed in Minnesota (39514) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and is a graduate of University Of Minnesota Medical School (1995).

NPPES Registry Identity

NPI1356339436
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRYAN TUTT PETERSENCredential: MD
Location Address1805 HENNEPIN AVE N, GLENCOE REGIONAL HEALTH SERVICESGlencoe, MN 55336-1416
Mailing Address1805 Hennepin Ave N, Glencoe Regional Health ServicesGlencoe, MN 55336-1416 · (320) 864-3121 · Fax (320) 864-7887
Fax(320) 864-7887
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1995
Enumeration DateOctober 12, 2005
Last NPPES UpdateNovember 24, 2020
NPPES CertifiedNovember 24, 2020
NPI 1356339436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 39514
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1805 HENNEPIN AVE N, Glencoe, MN 55336

Other Identifiers 1

Medicaid658217600MN

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 and accepts Medicare assignment

Bryan Tutt Petersen 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 ID749354751
PECOS Enrollment IDI20100215000816
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.

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    6 DME suppliers used 76 Medicare Claims 122 Services Paid

  • DME-Other DME (DE001N)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    2 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Other DME (DE001N)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    3 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    4 DME suppliers used 13 Medicare Claims 74 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 31 Medicare Claims 31 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    2 DME suppliers used 16 Medicare Claims 16 Services Paid

  • DME-Other DME (DE017N)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    6 DME suppliers used 60 Medicare Claims 60 Services Paid

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:K0738)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE000N)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    3 DME suppliers used 14 Medicare Claims 14 Services Paid

Orthotic Devices

  • DME-Orthotic Devices (DF010N)

    Skin barrier, wipes or swabs, each (HCPCS:A5120)

    2 DME suppliers used 12 Medicare Claims 375 Services Paid

Drugs Administered Through DME

  • DME-Drugs Administered Through DME (DG006N)

    Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms (HCPCS:J7606)

    2 DME suppliers used 12 Medicare Claims 720 Services Paid

  • DME-Drugs Administered Through DME (DG000N)

    Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg (HCPCS:J7626)

    2 DME suppliers used 13 Medicare Claims 780 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 29 times for 17 patients

Follow-up nursing facility visit per day, typically 25 minutes

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.

This service was performed 55 times for 15 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 19 times for 19 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.45 for a new patient copayment and $24.65 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55336 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.82
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $21.45
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.61
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $24.65
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Bryan Petersen is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
RIDGEVIEW MEDICAL CENTER500 SOUTH MAPLE STREET
WACONIA, MN 55387
(952) 442-2191Acute Care Hospitals
GLENCOE REGIONAL HEALTH1805 HENNEPIN AVENUE NORTH
GLENCOE, MN 55336
(320) 864-3121Critical Access Hospitals

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Physician Assistant
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Surgery
1805 HENNEPIN AVE N, GLENCOE REGIONAL HEALTH SERVICES
GLENCOE, MN 55336
Family Medicine
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Family Medicine
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Surgery
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Podiatrist (Foot & Ankle Surgery)
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Family Medicine
1805 HENNEPIN AVE N, GLENCOE REGIONAL HEALTH SERVICES
GLENCOE, MN 55336
Physical Therapist
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Physical Therapist
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Physical Therapist
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Physical Therapist
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Physical Therapist
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Physical Therapist
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Nurse Practitioner (Family)
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Emergency Medicine
1805 HENNEPIN AVE N
GLENCO, MN 55336
Internal Medicine
1805 HENNEPIN AVE N, GLENCOE REGIONAL HEALTH SERVICES
GLENCOE, MN 55336
Nurse Anesthetist, Certified Registered
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Skilled Nursing Facility
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Nurse Anesthetist, Certified Registered
1805 HENNEPIN AVE N
GLENCOE, MN 55336

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356339436, enumerated as an "individual" on October 12, 2005.

The provider is located at 1805 HENNEPIN AVE N GLENCOE REGIONAL HEALTH SERVICES GLENCOE, MN 55336 and the phone number is (320) 864-3121.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medica, Sanford Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Bryan Petersen is affiliated with: RIDGEVIEW MEDICAL CENTER and GLENCOE REGIONAL HEALTH.