EMILY MARIE PETERSON MD
NPI 1912752056
Anesthesiology - Addiction Medicine in Rochester, MN

Q: What is Emily Peterson's NPI number?

The NPI number for Emily Peterson is 1912752056. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Q: What is Emily Peterson's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

Q: When was this NPI record last updated?

The NPPES record for Emily Peterson was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 April 22, 2024PECOS Enrolled

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

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 19, 2025, Jun 3, 2024, Apr 22, 2024 (3 updates tracked since 2024).

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About Emily Marie Peterson Md NPPES

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

EMILY MARIE PETERSON MD (NPI 1912752056) is an individual addiction medicine provider in Rochester, Minnesota, licensed in Minnesota (80277) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2024).

NPPES Registry Identity

NPI1912752056

Entity TypeIndividualFemale

Primary Taxonomy207LA0401X

Provider Legal NameEMILY MARIE PETERSONCredential: MD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2024

Enumeration DateApril 22, 2024

Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2025

✔ NPI 1912752056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LA0401X

License✔ Licensed in MN · 80277

Definition

An anesthesiologist who specializes in the diagnosis and treatment of addictions.

200 1ST ST SW, Rochester, MN 55905

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Marie Peterson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183166598

PECOS Enrollment IDI20251001001699

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 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

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

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