Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jon David Peterson, DPM

Individual provider Podiatrist · NPI 1508832676

Dr. Jon David Peterson, DPM is a Podiatry in Staples, Minnesota. Graduated from College of Podiatric Med and Surgery, Des Moines University in 1991, 35 years ago. Practices with Lakewood Health System, a 107-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
35
Trained at
College of Podiatric Med and Surgery, Des Moines University
Licensed in
MN
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

49725 County 83
Staples, MN 56479-5280
Phone: (218) 894-1515
Fax: (218) 894-8767
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 513 (MN)

Record details

NPI number1508832676
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024
Mailing address49725 County 83, Staples, MN 56479-5280

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCOLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduated 1991 (35 years in practice)
Group practice Lakewood Health System — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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