BRYAN TUTT PETERSEN (MD) – Family Medicine Physician, NPI 1356339436
Family Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
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Provider Addresses for BRYAN TUTT PETERSEN (MD)
Glencoe Regional Health Services, 1805, Hennepin Avenue North, Perez Mobile Home Park, Glencoe, McLeod County, Minnesota, 55336, United States
GLENCOE REGIONAL HEALTH SERVICES
GLENCOE, MN 553361416
Phone: (320) 864-3121
Fax: (320) 864-7887
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)
CMS reports 5 Open Payments records for all available years, with a total value of $95.
Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: LifeNet Health ($65).
Total Amount
$95
General + Research + Ownership
Payments
5
Total payment records
General Amount
$95
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LifeNet Health | $65 |
| Kerecis Limited | $30 |
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: 2010-02-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100215000816 | I | Family Practice | MN | TBD |
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.
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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 54 | 22 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 30 | 18 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 29 | 14 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 22 | 18 | $0 |
Insurance plans in this area (ZIP 55336)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | OK | |
| Physician Assistant | MN | |
| Emergency Medicine | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| Orthopedic Surgery | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| - | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN |
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