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VANESSA L PETERSON MD
NPI 1205958576
Internal Medicine - Sleep Medicine in Portland, OR

Active since April 05, 2007PECOS EnrolledAccepts Medicare Assignment
86.03/100
CMS Quality Rating
10201 SE MAIN ST, PORTLAND LUNG CLINIC, PORTLAND, OR 97216(503) 253-2248 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vanessa L Peterson Md NPPES

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

VANESSA L PETERSON MD (NPI 1205958576) is an individual sleep medicine provider in Portland, Oregon, licensed in Oregon (MD151179) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1205958576
Entity TypeIndividualFemale
Primary Taxonomy207RS0012X
Provider Legal NameVANESSA L PETERSONCredential: MD
Location Address10201 SE MAIN ST, PORTLAND LUNG CLINICPortland, OR 97216-2937
Mailing Address10201 Se Main St Ste 11, Portland Lung ClinicPortland, OR 97216-2937 · (503) 253-2248
Phone(503) 253-2248
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 5, 2007
Last NPPES UpdateOctober 12, 2012
✔ NPI 1205958576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
Licenses✔ Licensed in OR · MD151179✔ Licensed in WA · MD60237646
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
10201 SE MAIN ST, Portland, OR 97216
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vanessa L 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 ID8325202336
PECOS Enrollment IDI20120601000534
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.

Medicare Billing Reassignment

Medicare enrollment records show Vanessa Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Clinics LLC
6.8 mi
Clinic/Center
1130 NW 22ND AVE STE 220
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
NPI 1902827272 (503) 413-2901

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
82 services78 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.
76 services69 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
66 services66 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
66 services65 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380089
Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97216 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
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.

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.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

Referred Medical Equipment & Supplies CMS DME claims 19

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
22 suppliers272 claims272 services$31.91 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
16 suppliers139 claims139 services$69.26 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
17 suppliers149 claims371 services$25.54 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
18 suppliers137 claims620 services$15.38 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
16 suppliers74 claims335 services$12.16 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
21 suppliers202 claims202 services$46.59 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.

DR. JEFFREY AARON KOMISAROF MD
Internal Medicine (Nephrology)
10201 SE MAIN ST, SUITE 27
PORTLAND, OR 97216
Multnomah County (503) 256-0877
ANDREW J URI MD
Internal Medicine (Pulmonary Disease)
10201 SE MAIN ST, SUITE 11
PORTLAND, OR 97216
Multnomah County (503) 253-2248
ALEX LAM PHARMD
Pharmacist
10201 SE MAIN ST
PORTLAND, OR 97216
Multnomah County (503) 251-6141
ENOCH T HUANG MD
Emergency Medicine (Undersea and Hyperbaric Medicine)
10201 SE MAIN ST, SUITE 9
PORTLAND, OR 97216
Multnomah County (503) 252-4325
MARC M MOROYE MD
Internal Medicine
10201 SE MAIN ST, SUITE 12
PORTLAND, OR 97216
Multnomah County (503) 255-7550
JENNA CLOWERS PA-C
Physician Assistant
10201 SE MAIN ST, SUITE 9
PORTLAND, OR 97216
Multnomah County (503) 252-4325
MARILYN LUZOD MENDOZA NP
Nurse Practitioner
10201 SE MAIN ST, SUITE 29
PORTLAND, OR 97216
Multnomah County (503) 251-6363
KIDNEY CARE INC
Internal Medicine (Nephrology)
10201 SE MAIN ST, SUITE 27
PORTLAND, OR 97216
Multnomah County (503) 256-0877

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 Vanessa Peterson's NPI number?

The NPI number for Vanessa Peterson is 1205958576. It was assigned to this individual provider in the NPPES registry on April 5, 2007.

Where is Vanessa Peterson located?

Vanessa Peterson practices at 10201 SE Main St Portland Lung Clinic, Portland, OR 97216. The listed phone number is (503) 253-2248.

What is Vanessa Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Vanessa Peterson enrolled in Medicare?

Yes. Vanessa 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 organization bills Medicare for Vanessa Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Peterson reassigns Medicare benefits to Legacy Clinics LLC (Portland, OR). 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 Vanessa Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vanessa Peterson accept?

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

According to CMS data, Vanessa Peterson is affiliated with Legacy Good Samaritan Medical Center, Legacy Mount Hood Medical Center and Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for Vanessa Peterson was last updated on October 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.