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DR. THOMAS JOHN PETERSON DDS
NPI 1851492573
Dentist - General Practice in Valders, WI

Active since September 26, 2006PECOS Enrolled
519 CHRISTEL DR., VALDERS, WI 54245(920) 775-4531(920) 775-4180 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas John Peterson Dds NPPES

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

DR. THOMAS JOHN PETERSON DDS (NPI 1851492573) is an individual general practice provider in Valders, Wisconsin, licensed in Wisconsin (3128015) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851492573
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS JOHN PETERSONCredential: DDS
Location Address519 CHRISTEL DR.Valders, WI 54245
Mailing Address519 Christel Dr.Valders, WI 54245 · (920) 775-4531 · Fax (920) 775-4180
Phone(920) 775-4531
Fax(920) 775-4180
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1851492573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 3128015
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

519 CHRISTEL DR., Valders, WI 54245
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Other Identifiers 2

Medicaid33456300WI
Other3128015WI · State License

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. Thomas John 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 54245 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 Thomas Peterson's NPI number?

The NPI number for Thomas Peterson is 1851492573. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Thomas Peterson located?

Thomas Peterson practices at 519 Christel Dr., Valders, WI 54245. The listed phone number is (920) 775-4531.

What is Thomas Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Thomas Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Thomas Peterson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.