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Kimberly Petersen, MD

NPI 1043247877ActiveIndividual· Family Medicine· Perham, MN

Family Medicine (MD) in Perham, Minnesota, trained at University of Wisconsin School of Medicine (class of 1991). Their prescriptions cost Medicare Part D more than their services did: $98,751 for 1,337 claims, against $5,393 paid for services in 2024.

Overview

NPI1043247877
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJun 27, 2006
Last updated in NPPESAug 14, 2026
Certified by providerAug 14, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X35969MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients38
Services billed76 across 12 procedure codes
Paid by Medicare$5,393

Part D prescriptions in 2024

Prescriptions (claims)1,337 · 1,900 30-day fills
Patients121
Total drug cost$98,751
Generic share83% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Wisconsin School of Medicine
Graduation year1991
Medicare specialtyFamily Practice

Medical groups

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other family medicine physicians in Perham

All 21 family medicine physicians in Perham · All family medicine physicians in Minnesota