Todd Charles Peterson, D.O.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

DO-04737 Issued in IA

Practice address

12499 University Ave
Clive, IA 50325-8288

Phone

(515) 440-2676

NPI assigned

Jul 2, 2009

Last updated

Aug 7, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knoxville Community Hospital IncGroup PAC ID 6608787056, shared by 3 NPIs, 34 clinicians

Capital Orthopaedics and Sports Medicine PCGroup PAC ID 3476691551, 19 clinicians

Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Knoxville Hospital & Clinics Hospital, Knoxville, IA, CCN 161355
• Broadlawns Medical Center Hospital, Des Moines, IA, CCN 160101
• Boone County Hospital Hospital, Boone, IA, CCN 161372
• Dallas County Hospital Hospital, Perry, IA, CCN 161322
• Mercyone Newton Medical Center Hospital, Newton, IA, CCN 160032

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19659/brand/1/csg/1/fhir/r4
• Direct secure messaging: todd.peterson.1@19659.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Broadlawns Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1467447508
  Medicare reassignment Care Compare group NPD
• Capital Orthopaedics and Sports Medicine PC

  • Orthopaedic Surgery Physician
  • Clive, IA
  • NPI 1932432457
  Medicare reassignment Care Compare group NPD
• Boone County Comprehensive Specialty Care

  dba Boone County Hospital

  • Surgery Physician
  • Boone, IA
  • NPI 1316982200

  Orthopaedic Surgery

  Medicare reassignment NPD
• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  Medicare reassignment NPD
• Knoxville Community Hospital Inc

  dba Knoxville Hospital & Clinics

  • Emergency Medicine Physician
  • Knoxville, IA
  • NPI 1770591661
  Medicare reassignment NPD
• Knoxville Community Hospital Inc

  dba Knoxville Hospital & Clinics

  • Critical Access Hospital
  • Knoxville, IA
  • NPI 1922087915
  Medicare reassignment NPD
• Cosm LLP

  • Orthopaedic Surgery Physician
  • Clive, IA
  • NPI 1972384519
  Medicare reassignment
• Broadlawns Medical Center

  • Pharmacy
  • Des Moines, IA
  • NPI 1013197060
  NPD
• Knoxville Community Hospital Inc

  dba Knoxville Hospital & Clinics

  • Family Medicine Physician
  • Knoxville, IA
  • NPI 1578570677
  NPD
• Boone County Hospital

  dba Boone County Family Medicine North Walk In

  • Primary Care Clinic/Center
  • Boone, IA
  • NPI 1942664602
  NPD (past)
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  Care Compare affiliation
• Boone County Hospital

  dba Boone County Family Medicine North Walk In

  • Primary Care Clinic/Center
  • Boone, IA
  • NPI 1942664602

  Hospital

  Care Compare affiliation
• Broadlawns Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1467447508
  Care Compare affiliation
• Dallas County Hospital

  • Critical Access Hospital
  • Perry, IA
  • NPI 1669477089
  Care Compare affiliation
• Knoxville Community Hospital Inc

  dba Knoxville Hospital & Clinics

  • Critical Access Hospital
  • Knoxville, IA
  • NPI 1922087915
  Care Compare affiliation
• Knoxville Community Hospital Inc

  dba Knoxville Hospital & Clinics

  • Medicare Defined Swing Bed Hospital Unit
  • Knoxville, IA
  • NPI 1952319840
  Care Compare affiliation
• Mercy Medical Center-Newton

  dba MercyOne Newton Medical Center

  • General Acute Care Hospital
  • Newton, IA
  • NPI 1003296179
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1407085103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 LINCOLN AVE",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258126",
            "telephone_number": "515-440-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12499 UNIVERSITY AVE",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258288",
            "telephone_number": "515-440-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "TODD",
        "middle_name": "CHARLES",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101018316",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "IA",
            "license": "DO-04737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Pepper
• Adreanne Perkins, MSN, ARNP, PMHNP-BC
• Peter Cade Counseling, PC
• Chad Allen Peters
• Ellen Petersen, LISW
• Karman A Pflughaupt, ARNP
• Kelly Jo Pfundheller, ARNP
• Janalyn Phillips
• Kinsey Phillips, T-LMHC
• Phippsburger Inc (Accessible Home Health Care of Des Moines)

• Adult Reconstructive Orthopaedic Surgery Physician in Clive, IA
• Providers in Clive, IA by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.