KELSEA PETERMAN D.O.
NPI 1194163915
Surgery in Corvallis, OR
About Kelsea Peterman D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEA PETERMAN D.O. (NPI 1194163915) is an individual surgery provider in Corvallis, Oregon, licensed in Oregon (PG163053) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Jefferson Healthcare, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
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
Kelsea Peterman D.o. 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 Reassignment
Medicare enrollment records show Kelsea Peterman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Silverdale, WA 98383
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1356492953 (Washington)
- 208 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.
Jefferson Healthcare
Critical Access Hospitals · Port Townsend, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CORVALLIS, OR 97330
CORVALLIS, OR 97330
CORVALLIS, OR 97330
CORVALLIS, OR 97330
CORVALLIS, OR 97330
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 Kelsea Peterman's NPI number?
The NPI number for Kelsea Peterman is 1194163915. It was assigned to this individual provider in the NPPES registry on June 13, 2013.
Where is Kelsea Peterman located?
Kelsea Peterman practices at 3600 NW Samaritan Dr, Corvallis, OR 97330. The listed phone number is (541) 768-4906.
What is Kelsea Peterman's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Kelsea Peterman enrolled in Medicare?
Yes. Kelsea Peterman 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 organization bills Medicare for Kelsea Peterman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsea Peterman reassigns Medicare benefits to Jefferson County Public Hospital District No 2 (Silverdale, WA). The 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 Kelsea Peterman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsea Peterman accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Kelsea Peterman 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 Kelsea Peterman affiliated with any hospitals?
According to CMS data, Kelsea Peterman is affiliated with Jefferson Healthcare.
When was this NPI record last updated?
The NPPES record for Kelsea Peterman was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kelsea Peterman, D.O. · NPI 1194163915
Surgery physician in Corvallis, Oregon. Individual provider, active in the CMS NPPES registry since June 13, 2013.
## Identity
- **NPI:** 1194163915 (Entity type: Individual)
- **Enumerated:** June 13, 2013
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** PG163053 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3600 NW SAMARITAN DR, Corvallis, OR 97330-3737
- **Phone:** (541) 768-4906
## 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:** Jefferson County Public Hospital District No 2 (NPI 1467664631, Silverdale, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** June 13, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1194163915) · Data from the CMS NPPES public registry.