TODD CHARLES PETERSON (D.O.) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1407085103
Adult Reconstructive Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
287 ORTHOPEDIC SURGERY in IA
Loading map...
Provider Addresses for TODD CHARLES PETERSON (D.O.)
12411, Lincoln Avenue, Clive, Polk County, Iowa, 50398, United States
CLIVE, IA 503258126
Phone: (515) 440-2676
Type: Mailing
Capital Orthopaedics & West Lakes Surgery Center, 12499, University Avenue, Clive, Polk County, Iowa, 50325, United States
CLIVE, IA 503258288
Phone: (515) 440-2676
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,098.
Total Amount is formed as General ($1,098) + Research ($0) + Ownership ($0) = $1,098.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($239).
Total Amount
$1,098
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,098
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $239 |
| Smith+Nephew, Inc. | $229 |
| Wardlow Enterprises | $196 |
| Prism Medical | $176 |
| Maxx Orthopedics, Inc. | $84 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-10-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (953 days ago).
Enrollment records
1
Earliest due date
2023-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151005001841 | I | Orthopedic Surgery | IA | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 133 | 53 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 107 | 86 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 75 | 57 | $0 |
| 73564 | X-ray of knee, 4 or more views | 70 | 55 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 68 | 68 | $0 |
Insurance plans in this area (ZIP 50325)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IA | |
| Emergency Medicine | IA | |
| Family Practice | IA | |
| - | IA | |
| - | IA | |
| O P T O M E T R Y | IA | |
| - | IA | |
| O P T O M E T R Y | IA | |
| - | IA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.