Donald Thorgeir Peterson, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N4585 Issued in NY

Practice address

8029 Jericho Tpke
Woodbury, NY 11797-1212

Phone

(516) 496-0900

Fax

(516) 496-0901

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Podiatry of Manhasset, PLLCGroup PAC ID 6406917343, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Plainview Hospital Hospital, Plainview, NY, CCN 330331

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Advanced Podiatry of Manhasset, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Manhasset, NY
  • NPI 1669626370

  Foot Surgery

  Medicare reassignment Care Compare group NPD
• D T Peterson DPM PC

  • Foot Surgery Podiatrist
  • Woodbury, NY
  • NPI 1376845669
  Medicare reassignment NPD Authorized official

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

• Plainview Hospital

  • General Acute Care Hospital
  • Plainview, NY
  • NPI 1083621130
  Care Compare affiliation

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1649206558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8029 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971212",
            "telephone_number": "516-496-0900",
            "fax_number": "516-496-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8029 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971212",
            "telephone_number": "516-496-0900",
            "fax_number": "516-496-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DONALD",
        "middle_name": "THORGEIR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N4585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013496283",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jilka Kaushik Patel
• Neeral Patel, M.D
• Tatyana Volokitin Pena, LCSW
• Diane Peritz, MA, OTR
• Donna Perlow, PSY. D.
• Deborah Pfeffer, MD
• Physical Therapy Long Island, P.C.
• Pillai Family Dental PLLC
• Lynna Pillai, DMD
• Joseph H Pipala, MD

• Foot Surgery Podiatrist in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.