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DR. ANDREW CLAIR PETERSON M.D.
NPI 1093779365
Internal Medicine in Ontario, OR

Active since April 13, 2006PECOS Enrolled
1050 SW 3RD AVE, #3200, ONTARIO, OR 97914(541) 881-7373(541) 881-7186 Get Directions Write a Review

NPPES record last updated: February 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrew Clair Peterson M.d. NPPES

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

DR. ANDREW CLAIR PETERSON M.D. (NPI 1093779365) is an individual internal medicine provider in Ontario, Oregon, licensed in Oregon (MDO9438) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093779365
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANDREW CLAIR PETERSONCredential: M.D.
Location Address1050 SW 3RD AVE, #3200Ontario, OR 97914-2193
Mailing Address1050 Sw 3rd Ave, #3200Ontario, OR 97914-2193 · (541) 881-7373 · Fax (541) 881-7186
Phone(541) 881-7373
Fax(541) 881-7186
Sole ProprietorNo
Enumeration DateApril 13, 2006
Last NPPES UpdateFebruary 4, 2009
✔ NPI 1093779365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OR · MDO9438✔ Licensed in ID · M6155
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.
1050 SW 3RD AVE, Ontario, OR 97914
Open in Google Maps ↗

Other Identifiers 4

Medicaid153049OR
Medicare ID-Type Unspecified0000BHFPROR
Medicare UPINC93512
Medicaid003390300ID

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Clair Peterson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97914 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Other Providers at the Same Location NPPES 12

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

JULIE CATHERINE RYSENGA MD
Ophthalmology
1050 SW 3RD AVE, SUITE 2200
ONTARIO, OR 97914
Malheur County (541) 881-1300
SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC
Internal Medicine
1050 SW 3RD AVE, STE 3200
ONTARIO, OR 97914
Malheur County (541) 881-7370
FOOT & ANKLE CLINIC PC
Durable Medical Equipment & Medical Supplies
1050 SW 3RD AVE, STE 600
ONTARIO, OR 97914
Malheur County (541) 881-1319
LOGAN BAKE
Physical Therapist (Orthopedic)
1050 SW 3RD AVE
ONTARIO, OR 97914
Malheur County (541) 881-7330
DR. PAMELA PEMBER BRUCE MD
Surgery
1050 SW 3RD AVE, STE 2600
ONTARIO, OR 97914
Malheur County (541) 881-2330
ONTARIO EAR, NOSE AND THROAT
Otolaryngology
1050 SW 3RD AVE, SUITE 3600
ONTARIO, OR 97914
Malheur County (541) 889-7075
STEVEN C REICH MD
Otolaryngology
1050 SW 3RD AVE, STE 1200
ONTARIO, OR 97914
Malheur County (541) 881-7451
RICHARD T. DAVIS, MD PC
Orthopaedic Surgery
1050 SW 3RD AVE, SUITE 1200
ONTARIO, OR 97914
Malheur County (541) 889-3111

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 Andrew Peterson's NPI number?

The NPI number for Andrew Peterson is 1093779365. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Andrew Peterson located?

Andrew Peterson practices at 1050 SW 3rd Ave #3200, Ontario, OR 97914. The listed phone number is (541) 881-7373.

What is Andrew Peterson's specialty?

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

Is Andrew Peterson enrolled in Medicare?

Yes. Andrew Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Peterson was last updated on February 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.