DR. JEFFERY LEE PETERSON M.D.
NPI 1639229255
Family Medicine in Flandreau, SD

Q: What is Jeffery Peterson's NPI number?

The NPI number for Jeffery Peterson is 1639229255. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Q: What is Jeffery 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 Jeffery Peterson was last updated on July 8, 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.

Active since January 12, 2007PECOS Enrolled

701 W BROAD AVE, FLANDREAU, SD 57028(605) 997-2642(605) 997-9940 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jeffery Lee Peterson M.d. NPPES

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

DR. JEFFERY LEE PETERSON M.D. (NPI 1639229255) is an individual family medicine provider in Flandreau, South Dakota, licensed in South Dakota (1067) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639229255

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JEFFERY LEE PETERSONCredential: M.D.

Location Address701 W BROAD AVEFlandreau, SD 57028-1529

Mailing Address1027 Lawrence CirSartell, MN 56377-2081 · (605) 997-2642 · Fax (605) 997-9940

Phone(605) 997-2642

Fax(605) 997-9940

Sole ProprietorNo

Enumeration DateJanuary 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639229255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SD · 1067

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.

701 W BROAD AVE, Flandreau, SD 57028

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Other Identifiers 2

Medicare UPIND25540MN

Medicaid5546010SD

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. Jeffery Lee Peterson M.d. 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 57028 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

Other Providers at the Same Location NPPES 5

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

AMANDA MCMILLAN CNP

Nurse Practitioner (Family)