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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: August 09, 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
Phone(651) 999-4600
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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.

DIANE CROSS NP
Nurse Practitioner
2500 COMO AVENUE, MAIL STOP 31100A
ST PAUL, MN 55108
Ramsey County (651) 641-6200
RAE ANN WILLIAMS MD
Internal Medicine
2500 COMO AVENUE, MAIL STOP 31100A
ST PAUL, MN 55108
Ramsey County (651) 641-6200
BRENDA LOUISE WILCOX ABRAHAM MD
Family Medicine (Sports Medicine)
2500 COMO AVENUE
ST PAUL, MN 55108
Ramsey County (651) 641-6200
SYLVIA M SEKHON MD
Pediatrics
2500 COMO AVENUE, MAIL STOP 31100A
ST PAUL, MN 55108
Ramsey County (651) 641-6200
DR. BRYAN S MICHALOWICZ DDS, MS
Dentist (Periodontics)
2500 COMO AVENUE
ST. PAUL, MN 55108
Ramsey County (651) 429-2299
DR. PAULOSE S JOHN M.D
Family Medicine
2500 COMO AVENUE, MS31100A HEALTHPARTNERS COMO CLINIC
ST PAUL, MN 55108
Ramsey County (651) 641-6200
DR. POORNIMA K KAVATHEKAR M.D.
Pediatrics
2500 COMO AVENUE, MAIL STOP 31100A - HEALTHPARTNERS COMO CLINIC
ST PAUL, MN 55108
Ramsey County (651) 641-6200
PHILIP A GASSELING MD
Pediatrics
2500 COMO AVENUE
ST. PAUL, MN 55108
Ramsey County (952) 853-8800

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 Elisabeth Peterson's NPI number?

The NPI number for Elisabeth Peterson is 1508094244. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Elisabeth Peterson located?

Elisabeth Peterson practices at 2500 Como Avenue, St. Paul, MN 55108. The listed phone number is (651) 999-4600.

What is Elisabeth Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Elisabeth Peterson enrolled in Medicare?

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

What insurance does Elisabeth Peterson accept?

Health plans from Humana list Elisabeth 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 Elisabeth Peterson was last updated on March 30, 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.