MICHAEL PETERSON (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1912975871

MICHAEL PETERSON (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 45095 (MN). The NPI Number for MICHAEL PETERSON (MD) is 1912975871

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL PETERSON (MD)
NPI
1912975871
Phone
(612) 262-5000
Address
2925 CHICAGO AVE
Enumeration Date
8 March 2006
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
3206825225
Graduation Year
1995 (31 years ago)
PAC ID
2466354402
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20070827000347
Address ID
MN553021109AN440XXEXXX400
Telehealth
Yes

Contacts

Secure Messaging
mpeterson95890@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

111 CARDIAC ELECTROPHYSIOLOGY in MN

Provider Addresses for MICHAEL PETERSON (MD)

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • 225 SMITH AVE N STE 400

    SAINT PAUL, MN 551022568

    Phone: (651) 290-0133

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Abbott Laboratories ($47).

Total Amount

$113

General + Research + Ownership

Payments

3

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070827000347ICardiac ElectrophysiologyMNTBD
I20160811000567ICardiac ElectrophysiologyWITBD

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
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days702579$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days550450$0
93227Electrocardiogram (ecg) 2-day continuous with review by health care professional188180$0
93298Evaluation of cardiac rhythm monitor system, remote up to 30 days15681$0
93295Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days155133$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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Provider's Procedures

MICHAEL PETERSON (MD) performs procedures in CARDIAC ELECTROPHYSIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC ELECTROPHYSIOLOGYMN93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report2624
CARDIAC ELECTROPHYSIOLOGYMN93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report160148

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: 4587573613View full group profile

Reviews

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Frequently asked questions

Does MICHAEL PETERSON (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL PETERSON (MD) uses 1912975871.
Can I rely on MICHAEL PETERSON (MD) being an active provider?
As of the registry snapshot, MICHAEL PETERSON (MD) is marked active.
What is MICHAEL PETERSON (MD) best known for clinically?
Directory data describes MICHAEL PETERSON (MD) with Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MICHAEL PETERSON (MD)?
MICHAEL PETERSON (MD)'s geographic hint is Minneapolis, Minnesota in our summary view.
Why does MICHAEL PETERSON (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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