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Active NPI 1093733693 Individual Practitioner Male Practitioner

Terry A Peterson , PA-C

Physician Assistant • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Terry Peterson, PA-C is a registered healthcare professional specializing in Physician Assistant in Fargo, ND. Practice services are available at 2601 BROADWAY N under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and, transitional care management services for problem of high complexity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2601 Broadway N

Fargo, ND 581026704

Telephone 7012342900
Fax 7012342996
Associated Practice Facility / Clinic
🏢 Sanford Clinic North Facility NPI 1194751594

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
172 Specialists

Practicing in Fargo, ND (469 Statewide)

Telehealth Adoption Rate
18.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.4% 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 (2024)
Reporting Year:
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
414 241 $121.00 $71.29
99213 Established patient office or other outpatient visit, typically 15 minutes
88 69 $82.00 $55.71
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
12 11 $156.67 $44.10

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ND PAC0208

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License MN 9599

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License ND PAC0208

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
71084 (ND)

Practice Associates & Co-Workers

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

12 Associated Practitioners
Jennifer Kringlie , NP

Nurse Practitioner

NPI 1235151721

Nurse Practitioner

Amanda Horner , FNP-C

Nurse Practitioner - Family

NPI 1255018321

Family Nurse Practitioner (Certified)

Autumn Branca , PA-C

Physician Assistant

NPI 1275763955

Physician Assistant (Certified)

Dr. Tracy Kirchner , DPT

Physician Assistant

NPI 1326294513

Doctor of Physical Therapy

Dr. Abby Davis , MD

Family Medicine

NPI 1386057800

Doctor of Medicine (M.D.)

Kristina Gresh , FNP-C

Nurse Practitioner - Family

NPI 1457844581

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2016

Registered at 2601 BROADWAY N, FARGO, ND 581026704 (Tel: 7012342900)

📍
Updated Business Mailing Address April 18, 2016

Registered at 2601 BROADWAY N, FARGO, ND 581026704 (Tel: 7012342900)

👤
Provider Name / Credentials Updated April 18, 2016

Recorded as TERRY PETERSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2016

Physician Assistant (License #PAC0208 in ND)

🟢
Initial NPI Registration & Enumeration July 18, 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: 1093733693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: April 18, 2016
Sole Proprietor: No

Mailing Address

2601 Broadway N

Fargo, ND 581026704

Phone: 7012342900

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.