DR. MATTHEW J PETERSON DDS
NPI 1902993629
Dentist - General Practice in Cambridge, MN

Q: What is Matthew Peterson's NPI number?

The NPI number for Matthew Peterson is 1902993629. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Q: What is Matthew Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Peterson was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 October 06, 2006PECOS Enrolled

135 OPPORTUNITY S BLVD, CAMBRIDGE, MN 55008(763) 689-1554 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Matthew J Peterson Dds NPPES

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

DR. MATTHEW J PETERSON DDS (NPI 1902993629) is an individual general practice provider in Cambridge, Minnesota, licensed in Minnesota (11782) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902993629

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MATTHEW J PETERSONCredential: DDS

Location Address135 OPPORTUNITY S BLVDCambridge, MN 55008

Mailing Address135 Opportunity S BlvdCambridge, MN 55008 · (763) 689-1554

Phone(763) 689-1554

Sole ProprietorYes

Enumeration DateOctober 6, 2006

Last NPPES UpdateOctober 19, 2015

✔ NPI 1902993629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · 11782

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.

135 OPPORTUNITY S BLVD, Cambridge, MN 55008

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Other Identifiers 3

Other307G4CAMN · Blue Cross Blue Shield

Other7845201MN · Mn Tax Id #

Other20-2797371MN · Fed Tax Id #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Dr. Matthew J 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 55008 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

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.

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 Matthew Peterson's NPI number?

The NPI number for Matthew Peterson is 1902993629. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Matthew Peterson located?

Matthew Peterson practices at 135 Opportunity S Blvd, Cambridge, MN 55008. The listed phone number is (763) 689-1554.

What is Matthew Peterson's specialty?

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

Is Matthew Peterson enrolled in Medicare?

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

What insurance does Matthew Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Matthew 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 Matthew Peterson was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.