DR. PETER JAMES HALVORSON (M.D.) – Surgery Physician, NPI 1831152008
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. PETER JAMES HALVORSON (M.D.)
6401, University Avenue Northeast, Fridley, Anoka County, Minnesota, 55432, United States
FRIDLEY, MN 554324341
Phone: (763) 572-5710
Fax: (763) 571-3008
Type: Mailing
6341, University Avenue Northeast, Fridley, Anoka County, Minnesota, 55432, United States
FRIDLEY, MN 554324946
Phone: (763) 572-5710
Fax: (763) 586-5888
Type: Location
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: 2005-08-02
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 |
|---|---|---|---|---|
| I20050802000908 | I | General Surgery | 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 |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 30 | 28 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 25 | 22 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 55432)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | MN | 45385 | Removal of polyps or growths of large bowel using an endoscope | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | MN | |
| - | MN | |
| Family Practice | MN | |
| - | MO | |
| - | MN | |
| - | VA | |
| - | MN | |
| - | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN |
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