DR. DYLAN BERNS PETERSON MD
NPI 1083134019
Family Medicine in Tacoma, WA
About Dr. Dylan Berns Peterson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DYLAN BERNS PETERSON MD (NPI 1083134019) is an individual family medicine provider in Tacoma, Washington, licensed in Washington (MD61181360) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Dylan Berns 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.
Medicare Billing Reassignments
2Medicare enrollment records show Dylan Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tacoma, WA 98402
- Reassigned Medicare billing, Washington enrollment
- 98 clinicians in this Medicare group
Woonsocket, RI 02895
- Reassigned Medicare billing, Rhode Island enrollment
- 288 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Medical Center
Acute Care Hospitals · Tacoma, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dylan Peterson's NPI number?
The NPI number for Dylan Peterson is 1083134019. It was assigned to this individual provider in the NPPES registry on June 21, 2017.
Where is Dylan Peterson located?
Dylan Peterson practices at 1708 E 44th St, Tacoma, WA 98404. The listed phone number is (253) 722-2161.
What is Dylan Peterson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dylan Peterson enrolled in Medicare?
Yes. Dylan Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Dylan Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Peterson reassigns Medicare benefits to 2 organizations: Community Health Care (Tacoma, WA) and Thundermist Health Center (Woonsocket, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dylan Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dylan Peterson accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Dylan Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Dylan Peterson affiliated with any hospitals?
According to CMS data, Dylan Peterson is affiliated with St Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Dylan Peterson was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Dylan Berns Peterson, MD · NPI 1083134019
Family Medicine physician in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since June 21, 2017.
## Identity
- **NPI:** 1083134019 (Entity type: Individual)
- **Enumerated:** June 21, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD61181360 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1708 E 44TH ST, Tacoma, WA 98404-4611
- **Phone:** (253) 722-2161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Community Health Care (NPI 1790762755, Tacoma, WA); Thundermist Health Center (NPI 1588691620, Woonsocket, RI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Maryland School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** June 29, 2021
- **Other identifiers:** Other LP04110 (RI)
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Source: [NPI Profile](https://npiprofile.com/npi/1083134019) · Data from the CMS NPPES public registry.