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

Scott Peterson, DO

Individual provider Ophthalmology Physician · NPI 1598121808

Scott Peterson, DO is an Ophthalmology in Coon Rapids, Minnesota. Qualified in 2012, 14 years ago. Practices with St Croix Regional Medical Center, a 132-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3777 Coon Rapids Blvd NW Ste 100
Coon Rapids, MN 55433-2630
Phone: (763) 421-7420
Fax: (763) 421-0730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 168 S Howell St, Hillsdale, MI 49242-2040 — (517) 437-5192

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 5101019986 (MI)

Record details

NPI number1598121808
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 4, 2016
Last updated in NPPESMarch 17, 2018
Mailing address3777 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-2630

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice St. Croix Regional Medical Center — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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