Active NPI 1508832676 Individual Practitioner Male Practitioner

Dr. Jon David Peterson , DPM

Podiatrist • Staples, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jon Peterson, DPM is a certified Podiatrist practicing in Staples, MN. With approximately 35 years of clinical experience since graduating from College Of Podiatric Med And Surgery, Des Moines University in 1991, Dr. Peterson delivers high-quality medical care to the local community at 49725 COUNTY 83.

Dr. Peterson is affiliated with Lakewood Health System and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of fingernails or toenails, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

49725 County 83

Staples, MN 564795280

Telephone 2188941515

Fax 2188948767

Associated Practice Facility / Clinic

🏢 Lakewood Health System Facility NPI 1841280823

Medicare Profile & Education

Medical School

College Of Podiatric Med And Surgery, Des Moines University

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Staples, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +13.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 22.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Staples, MN (152 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (35 Years) 35 Yrs

Staples Specialty Average (21.5 Years) 21.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	148	116	$45.85	$45.13
99213 Established patient office or other outpatient visit, typically 15 minutes	27	22	$159.98	$73.59
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$161.27	$73.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	565	298	$155.70	$45.33
99213 Established patient office or other outpatient visit, typically 15 minutes	94	75	$149.02	$73.13
99202 New patient office or other outpatient visit, typically 20 minutes	87	87	$157.73	$75.48
73620 X-ray of foot, 2 views	84	34	$92.63	$15.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	50	$96.13	$44.75
99201 New patient office or other outpatient visit, typically 10 minutes	51	51	$99.32	$45.18
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	49	33	$37.06	$6.72
20600 Aspiration and/or injection of fluid from small joint	17	13	$121.98	$48.73
11720 Removal of fingernails or toenails, 1-5 nails	15	15	$60.92	$33.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	424	208	$258.40	$45.15
99201 New patient office or other outpatient visit, typically 10 minutes	51	51	$105.25	$43.91
99213 Established patient office or other outpatient visit, typically 15 minutes	46	35	$137.30	$70.74
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$156.20	$73.14
73620 X-ray of foot, 2 views	42	25	$161.80	$25.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	31	$97.05	$43.46
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	23	20	$32.46	$7.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	253	147	$250.85	$44.34
99202 New patient office or other outpatient visit, typically 20 minutes	87	87	$148.90	$72.75
99213 Established patient office or other outpatient visit, typically 15 minutes	83	59	$133.30	$70.45
99201 New patient office or other outpatient visit, typically 10 minutes	44	44	$102.15	$43.09
73620 X-ray of foot, 2 views	41	26	$157.05	$25.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	36	$94.20	$42.62
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	35	28	$32.86	$7.03

Medical Specialties & State Licenses

CMS Verified: 2024-02-22

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License MN 513

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Mn License

513 (MN)

Hospital & Practice Group Affiliations

Lakewood Health System

49725 County, Staples, MN 564795280

Phone: 2188941515

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Kelly Vanvickle

Nurse Practitioner - Women's Health

NPI 1013332105

Marissa Baumgartner , PA-C

Physician Assistant

NPI 1023727146

Physician Assistant (Certified)

Dr. Jordan Moe , MD

Family Medicine

NPI 1033386966

Doctor of Medicine (M.D.)

Dr. Gerald Henrickson , MD

Family Medicine

NPI 1043200678

Doctor of Medicine (M.D.)

Luann Gammon , LICSW

Social Worker - Clinical

NPI 1053630053

Licensed Independent Clinical Social Worker

Dr. Paige Carlson , MD

Internal Medicine

NPI 1063150415

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location February 22, 2024

Registered at 49725 COUNTY 83, STAPLES, MN 564795280 (Tel: 2188941515)

📍

Updated Business Mailing Address February 22, 2024

Registered at 49725 COUNTY 83, STAPLES, MN 564795280 (Tel: 2188941515)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 101 WILLMAR AVE SW, WILLMAR, MN 56201 (Tel: 3202315000)

📍

Updated Business Mailing Address July 08, 2007

Registered at 101 WILLMAR AVE SW, WILLMAR, MN 56201 (Tel: 3202315000)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JON PETERSON, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Podiatrist (License #513 in MN)

🟢

Initial NPI Registration & Enumeration February 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508832676

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 27, 2006

Last Update: February 22, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

49725 County 83

Staples, MN 564795280

Phone: 2188941515

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.