Doctor profile · Federal record
Dr. Theodore Peterson, M.D.
Anesthesiology Physician (CMS: Anesthesiology) · Saint Cloud, MN
- NPI 1457342628
- Accepts Medicare
- 32 yrs in practice
- Male
- No sanctions
Practice & contact
- Primary practice
-
1406 6Th Ave N
Saint Cloud, MN 563031900
(320) 251-2700 - Mailing address
-
Po Box 725
Saint Cloud, MN 563020725
Credentials & registration
- NPI registered
- November 2005 — 21 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1994 — 32 yrs since
- Specialty taxonomy
- 207L00000X — NUCC code
- State license (1)
- Minnesota #38293
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1457342628. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
168
Distinct HCPCS
7
Medicare allowed
$11,348
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 54 | 53 | $61 | |
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 45 | 43 | $69 | |
36620 |
Insertion of artery tube for blood sampling or infusion through skin | 17 | 17 | $42 | |
00142 |
Anesthesia for lens surgery | 15 | 15 | $53 | |
00812 |
Anesthesia for exam of colon using an endoscope | 15 | 15 | $45 | |
00790 |
Anesthesia for other procedure on upper abdomen | 11 | 11 | $178 | |
00813 |
Anesthesia for procedure on small and large bowel using an endoscope | 11 | 11 | $76 |
In context: peer comparison
Among 13 peers in Saint Cloud Anesthesiology Physician, average services per provider: 21. This provider delivers 8.0× the peer median.Open Payments
Industry payments received
All-time total
$76
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 1 | $75.91 |
By nature of payment
Frequently asked questions
What is Dr. Theodore Peterson's medical specialty?
Dr. Theodore Peterson practices Anesthesiology Physician in Saint Cloud, MN.
Where does Dr. Theodore Peterson practice?
Dr. Theodore Peterson practices at 1406 6Th Ave N, Saint Cloud, MN 563031900. Office phone: 3202512700.
What is Dr. Theodore Peterson's NPI?
Dr. Theodore Peterson's National Provider Identifier (NPI) is 1457342628, issued by NPPES.
Does Dr. Theodore Peterson accept Medicare assignment?
Yes. Dr. Theodore Peterson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Theodore Peterson commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Insertion of artery tube for blood sampling or infusion through skin (HCPCS 36620). Source: CMS Medicare Physician & Other Practitioners file.