Mark Edward Peterson, DDS
Dentist · Grand Rapids, MI
Mark Edward Peterson, DDS is a dentist with a practice address in Grand Rapids, Michigan, and NPI 1528013661, issued on May 24, 2006. Check the license (Michigan 13556, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mark Edward Peterson
- Credential
- DDS
- Primary taxonomy
- Dentist 122300000X
- License number
- 13556 MI
Self-reported in NPPES; status is on the state search - Practice location
- 2440 Gaynor NW, Grand Rapids, MI 49544
- Phone
- (616) 784-8444
- Enumerated
- May 24, 2006
- Record last updated
- Mar 14, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (616) 784-6912
- Medicaid ID
- 124241245 MI
- Entity
- Type 1 · individual
8 nearest dentist records → All 3,439 in Michigan → Look up another NPI →
Verify Mark Edward Peterson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 13556Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.4 times the Medicare Part D claims of the average dentist in 2024
289 Medicare Part D claims for 181 beneficiaries, against an average of 86 among the 51,021 providers of this specialty who prescribed in Part D.
Most prescribed
- Amoxicillin216 claims
- Clindamycin Hcl46 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Mark Edward Peterson among 3,439 dentist records in Michigan
Mark Edward Peterson, DDS is one of 3,439 dentist records with a practice address in Michigan. 63% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than under 1% of them.
- NPI issued2006 · under 1% of these records are older, 76% newer
- In a Medicare fileYes · 63% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2019 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Dentist providers in Michigan
There are 3,439 dentist records in Michigan.
All 3,439 in Michigan → Every provider in Grand Rapids → Dentist nationwide →
The 8 dentist records with the nearest ZIP codes
- Brenden Carey, DDSGrand Rapids, MI 495441821614678
- Andrew Cybulski, DDSGrand Rapids, MI 495441609508266
- Andrew De Zwaan, DDSGrand Rapids, MI 495441821349549
- Linda Fleetwood, DDSGrand Rapids, MI 495441861058117
- Patricia Gonzalez, DDSGrand Rapids, MI 495441235987512
- Bruce Mickelson, DDSGrand Rapids, MI 495441760555692
- Ramin Rajaee, D.D.SWalker, MI 495441790135127
- Jason Sassack, DDSGrand Rapids, MI 495441952294381
Common questions
What is Mark Edward Peterson, DDS's NPI number?
Mark Edward Peterson, DDS's National Provider Identifier (NPI) is 1528013661, issued on May 24, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Mark Edward Peterson, DDS located?
The NPPES record lists a practice address at 2440 Gaynor NW, Grand Rapids, MI, 49544. Phone: (616) 784-8444. Providers update this record themselves, so call before visiting.
How can I verify Mark Edward Peterson, DDS's license?
NPPES lists Michigan license number 13556, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
How much does Mark Edward Peterson, DDS prescribe under Medicare Part D?
In 2024, Mark Edward Peterson, DDS had 289 Medicare Part D claims for 181 beneficiaries; the average among dentist prescribers was 86. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.