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DR. JON DAVID PETERSON DPM
NPI 1508832676
Podiatrist in Staples, MN

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment
97.7/100
CMS Quality Rating
49725 COUNTY 83, STAPLES, MN 56479(218) 894-1515(218) 894-8767 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jon David Peterson Dpm NPPES

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

DR. JON DAVID PETERSON DPM (NPI 1508832676) is an individual podiatrist in Staples, Minnesota, licensed in Minnesota (513) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of College Of Podiatric Med And Surgery, Des Moines University (1991).

NPPES Registry Identity

NPI1508832676
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. JON DAVID PETERSONCredential: DPM
Location Address49725 COUNTY 83Staples, MN 56479-5280
Mailing Address49725 County 83Staples, MN 56479-5280 · (218) 894-1515 · Fax (218) 894-8767
Phone(218) 894-1515
Fax(218) 894-8767
Sole ProprietorNo
Medical School CMSCollege Of Podiatric Med And Surgery, Des Moines UniversityGraduated 1991
Enumeration DateFebruary 27, 2006
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1508832676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MN · 513
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
49725 COUNTY 83, Staples, MN 56479
Open in Google Maps ↗

Other Identifiers 1

Other513MN · Mn License

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

Dr. Jon David Peterson Dpm 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 ID6608917430
PECOS Enrollment IDI20091230000573
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 Reassignment

Medicare enrollment records show Jon Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakewood Health System
Same address
Critical Access
49725 COUNTY 83
Staples, MN 56479
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1124019054 (Minnesota)
  • 179 clinicians in this Medicare group
NPI 1295726362 (218) 894-1515

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56479 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.33
Promoting Interoperability100
Improvement Activities40
Cost100

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.

LAKEWOOD HEALTH SYSTEM
Durable Medical Equipment & Medical Supplies
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
KELLY VANVICKLE
Nurse Practitioner (Women's Health)
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
MARISSA ELIZABETH BAUMGARTNER PA-C
Physician Assistant
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
JORDAN ROBERT MOE M.D.
Family Medicine
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
KYLIE OLSON
Speech-Language Pathologist
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-8427
GERALD WAYNE HENRICKSON MD
Family Medicine
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
LUANN ANNETTE GAMMON LICSW
Social Worker (Clinical)
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
PAIGE MARIE CARLSON MD
Internal Medicine
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515

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 Jon Peterson's NPI number?

The NPI number for Jon Peterson is 1508832676. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Jon Peterson located?

Jon Peterson practices at 49725 County 83, Staples, MN 56479. The listed phone number is (218) 894-1515.

What is Jon Peterson's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Jon Peterson enrolled in Medicare?

Yes. Jon Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jon Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Peterson reassigns Medicare benefits to Lakewood Health System (Staples, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jon Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jon Peterson was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.