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TATIANA LVOVNA PETERSON MD
NPI 1114070455
Internal Medicine in Vancouver, WA

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment
2121 NE 139TH ST, VANCOUVER, WA 98686(360) 487-1000(360) 487-5239 Get Directions Write a Review

NPPES record last updated: June 3, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tatiana Lvovna Peterson Md NPPES

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

TATIANA LVOVNA PETERSON MD (NPI 1114070455) is an individual internal medicine provider in Vancouver, Washington, licensed in Washington (MD00042246) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Legacy Salmon Creek Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1114070455
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTATIANA LVOVNA PETERSONCredential: MD
Location Address2121 NE 139TH STVancouver, WA 98686-2316
Mailing Address2121 Ne 139th StVancouver, WA 98686-2316 · (360) 487-1000 · Fax (360) 487-5239
Phone(360) 487-1000
Fax(360) 487-5239
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJune 3, 2009
✔ NPI 1114070455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · MD00042246
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.

2121 NE 139TH ST, Vancouver, WA 98686
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Other Identifiers 3

Medicaid8374563WA
Medicare UPINI20831
Medicare ID-Type Unspecified8808679WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

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

Tatiana Lvovna 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 ID1052374519
PECOS Enrollment IDI20041105000949
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 6

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.

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.
123 services120 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services20 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.
17 services17 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
16 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500150
Location2211 NE 139th StreetVancouver, WA 98686 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98686 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$10.79 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$50.49 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.

CARA SCHMITT PT
Speech-Language Pathologist
2121 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 487-3750
MS. BROOKE LYNNE BERARD CCC-SLP
Speech-Language Pathologist
2121 NE 139TH ST, MEDICAL OFFICE BUILDING A, SUITE #200
VANCOUVER, WA 98686
Clark County (360) 487-1777
JILLIAN E. SHERRODD WING SLP
Speech-Language Pathologist
2121 NE 139TH ST, MOB A, STE 200
VANCOUVER, WA 98686
Clark County (360) 487-1777
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
Prosthetic/Orthotic Supplier
2121 NE 139TH ST, BLDG 1 STE 225
VANCOUVER, WA 98686
Clark County (503) 765-5081
KIMBERLY H. COPELAND MD
Pediatrics
2121 NE 139TH ST, SUITE 200
VANCOUVER, WA 98686
Clark County (360) 487-1777
AMBER D BURNETT SPT
Speech-Language Pathologist
2121 NE 139TH ST, MOB A SUITE 200
VANCOUVER, WA 98686
Clark County (360) 487-1777
KARA A CASSAR M.S. CCC-SLP
Speech-Language Pathologist
2121 NE 139TH ST, MOB A SUITE 200
VANCOUVER, WA 98686
Clark County (360) 487-1777
KIMBERLY GRIFFIN OTR/L
Occupational Therapist
2121 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 487-1777

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 Tatiana Peterson's NPI number?

The NPI number for Tatiana Peterson is 1114070455. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Tatiana Peterson located?

Tatiana Peterson practices at 2121 NE 139th St, Vancouver, WA 98686. The listed phone number is (360) 487-1000.

What is Tatiana Peterson's specialty?

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

Is Tatiana Peterson enrolled in Medicare?

Yes. Tatiana 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.

What insurance does Tatiana Peterson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Tatiana 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 Tatiana Peterson affiliated with any hospitals?

According to CMS data, Tatiana Peterson is affiliated with Legacy Salmon Creek Medical Center.

When was this NPI record last updated?

The NPPES record for Tatiana Peterson was last updated on June 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.