DR. THOMAS MICHAEL PETERSON MD
NPI 1639131014
Psychiatry & Neurology - Psychiatry in Grand Forks, ND
NPI Status: Active since April 03, 2006
Contact Information
4700 S WASHINGTON ST STE G
GRAND FORKS, ND
ZIP 58201
Phone: (701) 205-3000
Fax: (701) 732-2501
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About THOMAS PETERSON
This page provides the complete NPI Profile along with additional information for Thomas Peterson, a provider established in Grand Forks, North Dakota with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1639131014 assigned on April 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 6217 (ND). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1639131014
- Provider Name
- DR. THOMAS MICHAEL PETERSON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201
- Location Phone
- (701) 205-3000
- Location Fax
- (701) 732-2501
- Mailing Address
- PO BOX 5210 GRAND FORKS, ND 58206
- Mailing Phone
- (701) 205-3000
- Mailing Fax
- (701) 732-2501
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-03-2006
- Last Update Date
- 01-02-2020
- Code Navigator
A psychiatrist like Thomas Peterson are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 6217
- License State
- ND
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Altru Prime by Medica Bronze $0 Copay PCP Visits - HMO
- Altru Prime by Medica Bronze Share - HMO
- Altru Prime by Medica Expanded Bronze Standard - HMO
- Altru Prime by Medica Gold $0 Copay PCP Visits - HMO
- Altru Prime by Medica Gold Share - HMO
- Altru Prime by Medica Gold Standard - HMO
- Altru Prime by Medica Silver $0 Copay PCP Visits - HMO
- Altru Prime by Medica Silver Share - HMO
- Altru Prime by Medica Silver Standard - HMO
- Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay - EPO
- Healthy Premier Silver Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12325 | OTHER (01) | ND | ND BC/BS |
| 1460891 | MEDICAID (05) | ND | |
| 17392 | MEDICAID (05) | ND | |
| 878583000 | MEDICAID (05) | MN |
Medicare Participation & PECOS Enrollment Status
Thomas Peterson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 58201 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $168.12
- Minimum New Patient Price $55.75
- Maximum New Patient Price $168.12
- Average New Patient Copayment $42.03
- Minimum New Patient Copayment $13.93
- Maximum New Patient Copayment $42.03
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.48
- Minimum Established Patient Price $18.11
- Maximum Established Patient Price $137.65
- Average Established Patient Copayment $17.37
- Minimum Established Patient Copayment $4.52
- Maximum Established Patient Copayment $34.41
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Depression screening | Yes | N/A |
| Depression screening and follow-up plan: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including depression screening and follow-up plan (refer to NQF #0418) for patients with co-occurring conditions of behavioral or mental health conditions. | ||
| Use of telehealth services that expand practice access | Yes | N/A |
| Use of telehealth services and analysis of data for quality improvement, such as participation in remote specialty care consults or teleaudiology pilots that assess ability to still deliver quality care to patients. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 3 | 1 | 0 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 3 | 2 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 3 + 2 + 0 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1639131014 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982660908 | MS. KIMBER-LEE OSOWSKI LICSW Individual | Social Worker (Clinical) | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1659889798 | NATASHA MARIE KREBS PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1306819941 | DAVID B EBERLY PA-C Individual | Physician Assistant | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1821164120 | MRS. ELAINE BARBARA BEARD PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1255983888 | DANIELLE COLLINS PA-C Individual | Physician Assistant | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1023663598 | MS. DEVON NICOLE ANDERSON PA-C Individual | Physician Assistant | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1730695412 | MIO WATANABE PA-C Individual | Physician Assistant | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1588833453 | ELIZABETH L ROGERS PA-C Individual | Physician Assistant | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1841863164 | SARAH NOEL LEWIS PMHNP-NC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1972278729 | REBEKAH NICOLE LAUPP PA-C Individual | Physician Assistant | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1134766561 | MRS. ANGELA KAISER MA, LPCC Individual | Counselor (Professional) | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1013386887 | MRS. RITA DAVIS COLE LMSW Individual | Social Worker | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1083212625 | KELE FERREIRA Individual | Physician Assistant | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1578191003 | MITCHELL FORBES Individual | Physician Assistant | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1720599723 | VALERIE SMITH PA Individual | Physician Assistant | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1073137915 | HANNAH LEE O'GRADY PA-C Individual | Physician Assistant | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1073990800 | CHERYL REPP-TREDWAY LPCC, LCPC Individual | Counselor (Professional) | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1063108231 | JOSHUA BALINT PA Individual | Physician Assistant | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1043793920 | MRS. REBECCA LYNNE OHLSON LCSW Individual | Social Worker (Clinical) | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
| 1467815266 | MEGAN WEDDINGFELD APRN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201 (701) 205-3000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639131014, enumerated in the NPI registry as an "individual" on April 03, 2006
The provider is located at 4700 S Washington St Ste G Grand Forks, Nd 58201 and the phone number is (701) 205-3000
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross Blue Shield of North. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $168.12 with an average copayment of $42.03 for new patient appointments. Established patients should expect a typical charge of $69.48 and an average copayment of 17.37. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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