Kent John Peterson, MD
NPI 1669979514ActiveIndividual· Colon & Rectal Surgery· Fargo, ND
Colon & Rectal Surgery (MD) in Fargo, North Dakota, trained at University of Minnesota Medical School (class of 2018). Part D covered 20 prescriptions written in 2024, 85% of them generic.
Overview
| NPI | 1669979514 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 8, 2018 |
| Last updated in NPPES | Jan 28, 2026 |
| Certified by provider | Jan 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Colon & Rectal Surgery Primary | 208C00000X | 22778 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Colorectal Surgery (Proctology) (ND) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 20 · 24 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $4,280 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | University of Minnesota Medical School |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Colorectal Surgery (Proctology) |
Medical group
- Sanford Medical Center FargoWest Fargo, ND · 1,225 clinicians
Hospital affiliation
- Sanford Medical Center FargoFargo, ND
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other colorectal surgeons in Fargo
- 1033302062