Active NPI 1881703700 Individual Practitioner Male Practitioner

Dr. John Conrad Peterson , DDS

Dentist - General Practice • Oceanside, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Peterson, DDS is a certified Dentist - General Practice practicing in Oceanside, NY. With approximately 54 years of clinical experience since graduating from Columbia University College Of Dental Medicine in 1972, Dr. Peterson delivers high-quality medical care to the local community at 2983 LONG BEACH RD.

Dr. Peterson accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, impression and custom preparation of oral surgical splint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2983 Long Beach Rd

Oceanside, NY 115723204

Telephone 5165365777

Fax 8552013647

Associated Practice Facility / Clinic

🏢 Advanced Dental Technologies Cor Facility NPI 1679968408

Medicare Profile & Education

Medical School

Columbia University College Of Dental Medicine

Graduation Year

1972

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Oceanside, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

54 Yrs Matches City Avg

City Avg: 54.0 Yrs

State Avg: 21.2 Yrs

Regional Practice Density

16 Specialists

Practicing in Oceanside, NY (8411 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (54 Years) 54 Yrs

Oceanside Specialty Average (54.0 Years) 54.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$350.00	$127.92
99213 Established patient office or other outpatient visit, typically 15 minutes	81	37	$300.00	$103.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$349.29	$132.50
99213 Established patient office or other outpatient visit, typically 15 minutes	53	30	$300.94	$105.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	72	$300.00	$108.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	200	87	$156.50	$110.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	228	103	$125.00	$89.54
21085 Impression and custom preparation of oral surgical splint	20	20	$2750.00	$858.03
92512 Analysis of nasal resistance during breathing	14	14	$195.00	$72.27
92520 Study of voice box function	14	14	$250.00	$96.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	177	97	$125.00	$86.02
21085 Impression and custom preparation of oral surgical splint	20	20	$2750.00	$892.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$150.00	$126.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$350.00	$191.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	91	$150.00	$124.49
99213 Established patient office or other outpatient visit, typically 15 minutes	130	64	$125.00	$84.75
21085 Impression and custom preparation of oral surgical splint	18	18	$2750.00	$915.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	73	$125.00	$84.65
21085 Impression and custom preparation of oral surgical splint	19	19	$2750.00	$932.44

Medical Specialties & State Licenses

CMS Verified: 2026-02-18

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 029836-1

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00304132 (NY)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 23, 2015

Registered at 2983 LONG BEACH RD, OCEANSIDE, NY 115723204 (Tel: 5165365777)

📍

Updated Business Mailing Address March 23, 2015

Registered at 2983 LONG BEACH RD, OCEANSIDE, NY 115723204 (Tel: 5165365777)

👤

Provider Name / Credentials Updated March 23, 2015

Recorded as JOHN PETERSON, D.D.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2015

Dentist (License #029836-1 in NY)

🟢

Initial NPI Registration & Enumeration August 30, 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: 1881703700

Entity Type:

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

Enumeration Date: August 30, 2006

Last Update: February 18, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2983 Long Beach Rd

Oceanside, NY 115723204

Phone: 5165365777

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.