MARCUS E PETERSON DDS
NPI 1659474005
Dentist in Rupert, ID

Active since September 07, 2006PECOS Enrolled
402 6TH ST, RUPERT, ID 83350(208) 650-7941(208) 436-0735 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marcus E Peterson Dds NPPES

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

MARCUS E PETERSON DDS (NPI 1659474005) is an individual dentist in Rupert, Idaho, licensed in Oregon (D8782) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659474005
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMARCUS E PETERSONCredential: DDS
Location Address402 6TH STRupert, ID 83350-1619
Mailing Address794 Eastland DrTwin Falls, ID 83301-6856 · (208) 737-6718 · Fax (208) 734-5036
Fax(208) 436-0735
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateApril 13, 2021
NPPES CertifiedApril 13, 2021
NPI 1659474005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OR · D8782
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
402 6TH ST, Rupert, ID 83350

Accepted 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)

Marcus E 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 83350 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 6

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

Clinic/Center (Federally Qualified Health Center (FQHC))
402 6TH ST
RUPERT, ID 83350
Physician Assistant (Medical)
402 6TH ST
RUPERT, ID 83350
Physician Assistant
402 6TH ST
RUPERT, ID 83350
Family Medicine
402 6TH ST
RUPERT, ID 83350
Pharmacy (Community/Retail Pharmacy)
402 6TH ST
RUPERT, ID 83350
Physician Assistant
402 6TH ST
RUPERT, ID 83350

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 Marcus Peterson's NPI number?

The NPI number for Marcus Peterson is 1659474005. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Marcus Peterson located?

Marcus Peterson practices at 402 6th St, Rupert, ID 83350. The listed phone number is (208) 650-7941.

What is Marcus Peterson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Marcus Peterson enrolled in Medicare?

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

What insurance does Marcus Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Marcus 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 Marcus Peterson was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.