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

Todd Charles Peterson, DO

Individual provider Orthopaedic Surgery Physician · NPI 1407085103

Todd Charles Peterson, DO is an Orthopedic Surgery in Clive, Iowa. Qualified in 2009, 17 years ago. Practices with Knoxville Community Hospital Inc, a 35-clinician group and accepts Medicare assignment. Licensed in Iowa and Michigan.

Years since qualifying
17
Licensed in
IA, MI
In the registry since
2009
Specialties on file
2
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

12499 University Ave
Clive, IA 50325-8288
Phone: (515) 440-2676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence DO-04737 (IA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 5101018316 (MI)

Record details

NPI number1407085103
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 2, 2009
Last updated in NPPESAugust 7, 2015
Mailing address12411 Lincoln Ave, Clive, IA 50325-8126

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Knoxville Community Hospital Inc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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