PETER WILLIAM WALDUSKY (MD) – Hospitalist Physician, NPI 1194714097

PETER WILLIAM WALDUSKY (MD) is a healthcare provider. based in St cloud, Minnesota. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 44863 (MN). The NPI Number for PETER WILLIAM WALDUSKY (MD) is 1194714097

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
PETER WILLIAM WALDUSKY (MD)
NPI
1194714097
Phone
(320) 251-2700
Address
1200 SIXTH AVE N
Enumeration Date
14 October 2005
Last Update Date
30 October 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3207322141
Graduation Year
1999 (27 years ago)
PAC ID
7012109895
Group Practice PAC ID
3870524598
Professional Enrollment ID
I20101012000727
Address ID
MN563472100LO50XXXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,636 INTERNAL MEDICINE in MN

Provider Addresses for PETER WILLIAM WALDUSKY (MD)

  • 1200 SIXTH AVE N

    ST CLOUD, MN 563032735

    Phone: (320) 251-2700

    Fax: (320) 240-2118

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-10-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101012000727IInternal MedicineMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12255$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7539$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6262$0
99239Hospital discharge day management, more than 30 minutes3636$0
99291Critical care, first 30-74 minutes3625$0
View full utilization report →

Insurance plans in this area (ZIP 56303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870524598View full group profile
NameSpecialtyState
General Surgery, Surgical Oncology, Colorectal Surgery (Proctology), Thoracic SurgeryMN
Physician AssistantGA
Family PracticeND
Hospice/Palliative CareMN
Internal Medicine, HospitalistMN
Nurse PractitionerMN
Internal Medicine, HospitalistMN
Nurse PractitionerMN
Internal Medicine, HospitalistMI
Internal Medicine, HospitalistMN

Reviews

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Frequently asked questions

Is PETER WILLIAM WALDUSKY (MD) listed with a National Provider Identifier?
Yes — PETER WILLIAM WALDUSKY (MD) has NPI 1194714097 on file in the registry.
Is PETER WILLIAM WALDUSKY (MD) still an active registrant?
PETER WILLIAM WALDUSKY (MD) carries an active NPI according to the public dataset.
What kind of doctor is PETER WILLIAM WALDUSKY (MD)?
PETER WILLIAM WALDUSKY (MD) is associated with Hospitalist Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Minnesota is PETER WILLIAM WALDUSKY (MD) registered?
Use St Cloud, Minnesota as the headline location for PETER WILLIAM WALDUSKY (MD) here.
Does PETER WILLIAM WALDUSKY (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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