TYLER JEFFREY PETERSON M.D.
NPI 1639328784
Internal Medicine - Cardiovascular Disease in Rochester, MN

Q: What is Tyler Peterson's NPI number?

The NPI number for Tyler Peterson is 1639328784. It was assigned to this individual provider in the NPPES registry on September 13, 2008.

Q: What is Tyler Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Peterson was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 September 13, 2008PECOS EnrolledAccepts Medicare Assignment

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2020, May 1, 2019 (2 updates tracked since 2019).

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About Tyler Jeffrey Peterson M.d. NPPES

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

TYLER JEFFREY PETERSON M.D. (NPI 1639328784) is an individual cardiovascular disease provider in Rochester, Minnesota, licensed in Minnesota (53444) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1639328784

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameTYLER JEFFREY PETERSONCredential: M.D.

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateSeptember 13, 2008

Last NPPES UpdateSeptember 28, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2020

✔ NPI 1639328784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MN · 53444

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License A105538 (CA)

200 1ST ST SW, Rochester, MN 55905

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company, Sanford Health Plan and more.Insurance ›

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

Tyler Jeffrey Peterson M.d. 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 ID7517081870

PECOS Enrollment IDI20100824000773

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 Reassignments

Medicare enrollment records show Tyler Peterson reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic

Same address

Infectious Disease

200 1ST ST SW
Rochester, MN 55905

Reassigned Medicare billing, Minnesota enrollment
6,534 clinicians in this Medicare group

NPI 1114343860 (507) 284-2511

Mayo Clinic Health System-Lake City

31 mi

Critical Access

500 W GRANT ST
Lake City, MN 55041

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1164463659 (Minnesota)
675 clinicians in this Medicare group

NPI 1538113022 (651) 345-3321

Mayo Clinic Health System-Southeast Minnesota Region

35 mi

Multi-Specialty

701 HEWITT BLVD
Red Wing, MN 55066

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1063435410 (Minnesota)
1,571 clinicians in this Medicare group

NPI 1114453883 (651) 267-5000

Winneshiek Medical Center

49 mi

Primary Care

114 MAIN ST S
Mabel, MN 55954

Reassigned Medicare billing, Minnesota and Iowa enrollments
Also billed through NPI 1750042032 (Iowa)
108 clinicians in this Medicare group

NPI 1093857393 (563) 382-2911

Mayo Clinic Health System-Southwest Minnesota Region

52 mi

Multi-Specialty

501 STATE ST N
Waseca, MN 56093

Reassigned Medicare billing, Minnesota enrollment
1,572 clinicians in this Medicare group

NPI 1518494251 (507) 835-1210

Mayo Clinic Health System-Southwest Wisconsin Region, Inc.

63 mi

Multi-Specialty

800 WEST AVE S
La Crosse, WI 54601

Reassigned Medicare billing, Minnesota enrollment
330 clinicians in this Medicare group

NPI 1629056049 (608) 392-3861

Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

66 mi

Multi-Specialty

2321 STOUT RD
Menomonie, WI 54751

Reassigned Medicare billing, Minnesota enrollment
251 clinicians in this Medicare group

NPI 1235666967 (715) 235-5531

Mayo Clinic Health System-Fairmont

103 mi

Multi-Specialty

800 MEDICAL CENTER DR
Fairmont, MN 56031

Reassigned Medicare billing, Minnesota enrollment
806 clinicians in this Medicare group

NPI 1366410862 (507) 238-8100

Mayo Clinic Health System-St James

107 mi

Multi-Specialty

1101 MOULTON AND PARSONS DR
Saint James, MN 56081

Reassigned Medicare billing, Minnesota enrollment
592 clinicians in this Medicare group

NPI 1023177730 (507) 375-3261

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

Areas of Expertise CMS Part B claims 14

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

391 services385 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

55 services49 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

48 services38 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

44 services44 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

43 services43 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

27 services27 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

26 services26 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

22 services22 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

20 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

12 services12 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

11 services11 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

11 services11 patients

Injection of x-ray contrast during ultrasound of heart 93352

This procedure involves injecting a special dye into your bloodstream during a heart ultrasound. This dye, visible on X-rays, helps create clearer images of your heart's structure and function. It's safe and assists in diagnosing heart conditions accurately.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240010

Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County

Emergency services Birthing friendly

Mayo Clinic Health System In Red Wing

Acute Care Hospitals · Red Wing, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240018

Location701 Hewitt BoulevardRed Wing, MN 55066 · Goodhue County

Emergency services Birthing friendly

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240093

Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County

Emergency services Birthing friendly

Mayo Clinic Health System - Lake City

Critical Access Hospitals · Lake City, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241338

Location500 West Grant StreetLake City, MN 55041 · Wabasha County

Emergency services

Mayo Clinic Health System - Cannon Falls

Critical Access Hospitals · Cannon Falls, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241346

Location32021 County 24 BoulevardCannon Falls, MN 55009 · Goodhue County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

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 20

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

EMILY LEASURE MD

Internal Medicine