DEAN KYLE PETERSON MD
NPI 1033559869
Internal Medicine in Tualatin, OR

Q: What is Dean Peterson's NPI number?

The NPI number for Dean Peterson is 1033559869. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Q: What is Dean Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Dean Peterson was last updated on July 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 25, 2013PECOS EnrolledAccepts Medicare Assignment

86.03/100

CMS Quality Rating

19300 SW 65TH AVE, TUALATIN, OR 97062(503) 413-8407(503) 413-6951 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2018, Nov 8, 2017, Aug 11, 2016 (3 updates tracked since 2016).

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About Dean Kyle Peterson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEAN KYLE PETERSON MD (NPI 1033559869) is an individual internal medicine provider in Tualatin, Oregon, licensed in Oregon (MD186971) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Legacy Meridian Park Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1033559869

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDEAN KYLE PETERSONCredential: MD

Location Address19300 SW 65TH AVETualatin, OR 97062

Mailing AddressPo Box 3777Portland, OR 97208-3777 · (503) 413-3900

Phone(503) 413-8407

Fax(503) 413-6951

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2015

Enumeration DateJune 25, 2013

Last NPPES UpdateJuly 5, 20183 updates tracked since enumeration

✔ NPI 1033559869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in OR · MD186971✔ Licensed in OR · PG178578

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

19300 SW 65TH AVE, Tualatin, OR 97062

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Secondary Practice Location 1

Location 11200 NW 23rd AvePortland, OR 97210-2906 · Phone (503) 413-8401

Other Identifiers 1

OtherPG178578OR · Oregon Medical Board

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dean Kyle Peterson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668789876

PECOS Enrollment IDI20180808000916

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

285 services103 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

81 services81 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

69 services69 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

24 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380089

Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.03/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.8

Promoting Interoperability

Improvement Activities

Cost

74.15

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers18 claims18 services$34.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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