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Deactivated NPI 1245491182 Deactivated / Inactive NPI Male Practitioner

Dr. Jonathan Bradley Peterson , MD

Orthopaedic Surgery • Fargo, ND

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jonathan Peterson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 23, 2008
NPI Deactivation Date December 11, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Peterson, MD was a registered Orthopaedic Surgery practicing in Fargo, ND. Throughout an active medical career spanning 17 years, Dr. Peterson provided care at the practice location at 2301 25TH ST S until profile deactivation on 2025-12-11.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2301 25th St S

Fargo, ND 581036104

Telephone 7012348770
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.2 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
30 Specialists

Practicing in Fargo, ND (77 Statewide)

Telehealth Adoption Rate
13.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
15 11 $213.00 $71.34

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CA A124381

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Teresa Reinholz , PA-C

Physician Assistant - Surgical

NPI 1043231269

Physician Assistant (Certified)

Dr. Thomas Nagle , MD

Orthopaedic Surgery

NPI 1255359832

Doctor of Medicine (M.D.)

Dr. Timothy Uglem , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1396766630

Doctor of Podiatric Medicine

Aaron Lindstrom , NP

Nurse Practitioner

NPI 1467624585

Nurse Practitioner

Jason Hellman , PA-C

Physician Assistant

NPI 1801814454

Physician Assistant (Certified)

Kyla Gienger , ATC

Specialist/Technologist - Athletic Trainer

NPI 1871654194

Certified Athletic Trainer

Career & Practice History Timeline

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

11 Historical Events
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NPI Profile Deactivated December 11, 2025

Record deactivated on December 11, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2025

Orthopaedic Surgery (License #A124381 in CA)

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Updated Practice Location December 06, 2019

Registered at 1836 SOUTH AVE, LA CROSSE, WI 54601 (Tel: 6087827300)

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Updated Business Mailing Address December 06, 2019

Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2019

Orthopaedic Surgery (License #71982 in WI)

NPI Profile Active July 28, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 28, 2015

Registered at 2301 25TH ST S, FARGO, ND 581036104 (Tel: 7012348770)

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Updated Business Mailing Address July 28, 2015

Registered at 2301 25TH ST S, FARGO, ND 581036104 (Tel: 7012348770)

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Provider Name / Credentials Updated July 28, 2015

Recorded as JONATHAN PETERSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2015

Orthopaedic Surgery (License #A124381 in CA)

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Initial NPI Registration & Enumeration June 23, 2008

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: 1245491182
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2008
Last Update: July 28, 2015
Deactivation Date: December 11, 2025

Mailing Address

2301 25th St S

Fargo, ND 581036104

Phone: 7012348770

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.