DR. ELISABETH M PETERSON DDS
NPI 1508094244
Dentist - Oral and Maxillofacial Surgery in St. Paul, MN

Active since July 01, 2009PECOS Enrolled
2500 COMO AVENUE, ST. PAUL, MN 55108(651) 999-4600(651) 632-8984 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Elisabeth M Peterson Dds NPPES

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

DR. ELISABETH M PETERSON DDS (NPI 1508094244) is an individual oral and maxillofacial surgery provider in St. Paul, Minnesota, licensed in Minnesota (D12105) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508094244
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ELISABETH M PETERSONCredential: DDS
Location Address2500 COMO AVENUESt. Paul, MN 55108-1460
Mailing Address2500 Como AvenueSt. Paul, MN 55108-1460 · (651) 999-4600 · Fax (651) 632-8984
Fax(651) 632-8984
Sole ProprietorNo
Enumeration DateJuly 1, 2009
Last NPPES UpdateMarch 30, 2012
NPI 1508094244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MN · D12105
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2500 COMO AVENUE, St. Paul, MN 55108

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 (PECOS)

Dr. Elisabeth M Peterson Dds 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 55108 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
$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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
2500 COMO AVENUE, MAIL STOP 31100A
ST PAUL, MN 55108
Family Medicine
2500 COMO AVENUE, MAIL STOP 31100A
ST PAUL, MN 55108
Nurse Practitioner
2500 COMO AVENUE, MAIL STOP 31100A
ST PAUL, MN 55108
Nurse Practitioner
2500 COMO AVENUE, MAIL STOP 31100A
ST PAUL, MN 55108
Dentist (Periodontics)
2500 COMO AVENUE
ST. PAUL, MN 55108
Pediatrics
2500 COMO AVENUE
ST. PAUL, MN 55108
Pediatrics
2500 COMO AVENUE, MAIL STOP 31100A - HEALTHPARTNERS COMO CLINIC
ST PAUL, MN 55108
Family Medicine (Sports Medicine)
2500 COMO AVENUE, MS 31100A - HEALTHPARTNERS COMO CLINIC
ST PAUL, MN 55108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508094244, enumerated as an "individual" on July 01, 2009.

The provider is located at 2500 COMO AVENUE ST. PAUL, MN 55108 and the phone number is (651) 999-4600.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Humana. Please consult your insurance carrier or call the provider to verify.