KEVIN P PETERSON MD
NPI 1558327064
Family Medicine in Minneapolis, MN

Q: What is Kevin Peterson's NPI number?

The NPI number for Kevin Peterson is 1558327064. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Q: What is Kevin Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Peterson was last updated on February 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 24, 2006PECOS EnrolledAccepts Medicare Assignment

87.63/100

CMS Quality Rating

1414 MARYLAND AVE E, UMPHYSICIANS PHALEN VILLAGE CLINIC, MINNEAPOLIS, MN 55106(651) 772-3461(651) 772-5477 Get Directions Write a Review

NPPES record last updated: February 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kevin P Peterson Md NPPES

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

KEVIN P PETERSON MD (NPI 1558327064) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (27012) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Woodwinds Hospital, and is a graduate of University Of Minnesota Medical School (1981).

NPPES Registry Identity

NPI1558327064

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKEVIN P PETERSONCredential: MD

Location Address1414 MARYLAND AVE E, UMPHYSICIANS PHALEN VILLAGE CLINICMinneapolis, MN 55106

Mailing Address720 Washington Ave Se, Ste 200, University Of Minnesota PhysiciansMinneapolis, MN 55414 · (612) 884-0649 · Fax (612) 676-8992

Phone(651) 772-3461

Fax(651) 772-5477

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1981

Enumeration DateApril 24, 2006

Last NPPES UpdateFebruary 7, 2013

✔ NPI 1558327064 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 · 27012

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.

1414 MARYLAND AVE E, Minneapolis, MN 55106

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINA95991MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Kevin P Peterson 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 ID8325072895

PECOS Enrollment IDI20090514000379

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

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.

60 services34 patients

Hospital discharge day management, more than 30 minutes 99239

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.

25 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

24 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240213

Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55106 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

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

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.

87.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

83.78

Promoting Interoperability

100

Improvement Activities

Cost

71.59

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.

ASILA AHMED OSMAN MD

Student in an Organized Health Care Education/Training Program