TIMOTHY A PETERSON DDS, MS
NPI 1477507119
Dentist - Prosthodontics in Minneapolis, MN
About Timothy A Peterson Dds, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY A PETERSON DDS, MS (NPI 1477507119) is an individual prosthodontics provider in Minneapolis, Minnesota, licensed in Minnesota (D7957) and active in the NPI registry since May 2006. He has opted out of Medicare through May 6, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Timothy A Peterson Dds, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 6, 2015 through May 6, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MINNEAPOLIS, MN 55415
MINNEAPOLIS, MN 55415
MINNEAPOLIS, MN 55415
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 Timothy Peterson's NPI number?
The NPI number for Timothy Peterson is 1477507119. It was assigned to this individual provider in the NPPES registry on May 19, 2006.
Where is Timothy Peterson located?
Timothy Peterson practices at 701 Park Ave P7, Minneapolis, MN 55415. The listed phone number is (612) 873-2370.
What is Timothy Peterson's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.
Is Timothy Peterson enrolled in Medicare?
No. Timothy Peterson has opted out of Medicare through May 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Timothy 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, Blue Cross and Blue Shield of Texas and Humana list Timothy 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 Timothy Peterson was last updated on July 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Timothy A Peterson, DDS, MS · NPI 1477507119
Prosthodontics provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since May 19, 2006.
## Identity
- **NPI:** 1477507119 (Entity type: Individual)
- **Enumerated:** May 19, 2006
- **Primary specialty:** Dentist - Prosthodontics · taxonomy 1223P0700X
- **State license:** D7957 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 PARK AVE, P7, Minneapolis, MN 55415-1623
- **Phone:** (612) 873-2370
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 6, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 29, 2007
- **Other identifiers:** Medicare UPIN T39850
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Source: [NPI Profile](https://npiprofile.com/npi/1477507119) · Data from the CMS NPPES public registry.