ROBERT WILLIAM PETERSON MD
NPI 1104938380
Pediatrics in Portland, OR

Active since August 31, 2006PECOS Enrolled
3550 N INTERSTATE AVE, KAISER PERMANENTE INTERSTATE MEDICAL OFFICE EAST, PORTLAND, OR 97227(503) 331-3078 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert William Peterson Md NPPES

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

ROBERT WILLIAM PETERSON MD (NPI 1104938380) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (30984) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104938380
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameROBERT WILLIAM PETERSONCredential: MD
Location Address3550 N INTERSTATE AVE, KAISER PERMANENTE INTERSTATE MEDICAL OFFICE EASTPortland, OR 97227-1196
Mailing Address3550 N Interstate Ave, Kaiser Permanente Interstate Medical Office EastPortland, OR 97227-1196
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104938380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in OR · 30984 Licensed in WA · 30984
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3550 N INTERSTATE AVE, Portland, OR 97227

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Robert William Peterson Md 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 97227 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
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.

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.

Neuromusculoskeletal Medicine & OMM
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Psychiatry & Neurology (Psychiatry)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Obstetrics & Gynecology
3550 N INTERSTATE AVE, KAISER PERMANENTE, DEPT. OF OBSTETRICS & GYNECOLOGY
PORTLAND, OR 97227
Obstetrics & Gynecology
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Internal Medicine
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Nurse Practitioner (Adult Health)
3550 N INTERSTATE AVE, KAISER PERMANENTE INTERSTATE MEDICAL OFFICE E
PORTLAND, OR 97227
Internal Medicine (Rheumatology)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Social Worker (Clinical)
3550 N INTERSTATE AVE
PORTLAND, OR 97227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104938380, enumerated as an "individual" on August 31, 2006.

The provider is located at 3550 N INTERSTATE AVE KAISER PERMANENTE INTERSTATE MEDICAL OFFICE EAST PORTLAND, OR 97227 and the phone number is (503) 331-3078.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Kaiser Permanente. Please consult your insurance carrier or call the provider to verify.