DR. JOEL DENNIS PETERSON OD
NPI 1902459530
Optometrist in Minneapolis, MN
About Dr. Joel Dennis Peterson Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOEL DENNIS PETERSON OD (NPI 1902459530) is an individual optometrist in Minneapolis, Minnesota, licensed in Minnesota (3649) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Joel Dennis Peterson Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Joel Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55408
- Reassigned Medicare billing, Minnesota enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55408 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Joel Peterson's NPI number?
The NPI number for Joel Peterson is 1902459530. It was assigned to this individual provider in the NPPES registry on July 23, 2019.
Where is Joel Peterson located?
Joel Peterson practices at 3042 Hennepin Ave, Minneapolis, MN 55408. The listed phone number is (612) 822-1090.
What is Joel Peterson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Joel Peterson enrolled in Medicare?
Yes. Joel Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Joel Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joel Peterson reassigns Medicare benefits to Family Eyecare PA (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joel Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joel Peterson accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Joel 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 Joel Peterson was last updated on August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Joel Dennis Peterson, OD · NPI 1902459530
Optometrist provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since July 23, 2019.
## Identity
- **NPI:** 1902459530 (Entity type: Individual)
- **Enumerated:** July 23, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3649 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3042 HENNEPIN AVE, Minneapolis, MN 55408-2614
- **Phone:** (612) 822-1090
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Family Eyecare PA (NPI 1689809873, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2019
## Record status
- **NPPES last updated:** August 8, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1902459530) · Data from the CMS NPPES public registry.