DR. PAUL CHARLES PETERSON (MD) – Vascular Neurology Physician, NPI 1902805518
Vascular Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
640 NEUROLOGY in MN
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Provider Addresses for DR. PAUL CHARLES PETERSON (MD)
1200, 6th Avenue North, St. Cloud, Stearns County, Minnesota, 56303, United States
SAINT CLOUD, MN 563032736
Phone: (320) 255-7891
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 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novo Nordisk Inc ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $15 |
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: 2023-02-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190709002811 | I | Neurology | MN | TBD |
| I20211114000030 | I | Neurology | MT | TBD |
| I20230207002647 | I | Neurology | CO | 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 |
|---|---|---|---|---|
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 63 | 14 | $0 |
| 99292 | Critical care, each additional 30 minutes | 47 | 17 | $0 |
| 99291 | Critical care, first 30-74 minutes | 46 | 37 | $0 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 28 | 27 | $0 |
| G0508 | Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth | 26 | 26 | $0 |
Insurance plans in this area (ZIP 56303)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | NC | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 50 | 42 |
| EMERGENCY MEDICINE | NC | 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 29 | 27 |
| EMERGENCY MEDICINE | NC | 95910 | Nerve transmission studies, 7-8 studies | 28 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | IA | |
| Nurse Practitioner | MN | |
| - | MN | |
| - | MN | |
| Registered Dietitian Or Nutrition Professional | MN | |
| Family Practice | MN | |
| - | MN | |
| - | WI | |
| - | MN |
Reviews
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