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DR. PRESTON LANE PETERSON MD
NPI 1245201508
Internal Medicine - Geriatric Medicine in Portland, OR

Active since January 26, 2006PECOS Enrolled
2701 NW VAUGHN ST, SUITE 160, PORTLAND, OR 97210(503) 499-5200(503) 499-5455 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Preston Lane Peterson Md NPPES

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

DR. PRESTON LANE PETERSON MD (NPI 1245201508) is an individual geriatric medicine provider in Portland, Oregon, licensed in Oregon (MD25733) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245201508
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. PRESTON LANE PETERSONCredential: MD
Location Address2701 NW VAUGHN ST, SUITE 160Portland, OR 97210-5311
Mailing Address2701 Nw Vaughn St, Suite 160Portland, OR 97210-5311 · (503) 499-5200 · Fax (503) 499-5455
Phone(503) 499-5200
Fax(503) 499-5455
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateFebruary 4, 2022
✔ NPI 1245201508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Licenses✔ Licensed in OR · MD25733✔ Licensed in WA · MD60167468
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
2701 NW VAUGHN ST, Portland, OR 97210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.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)

Dr. Preston Lane 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 97210 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
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.

JENI LYNNE SHILMAN LCSW
Social Worker (Clinical)
2701 NW VAUGHN ST
PORTLAND, OR 97210
Multnomah County (503) 499-5200
ARTHUR D HAYWARD MD
Internal Medicine (Geriatric Medicine)
2701 NW VAUGHN ST
PORTLAND, OR 97210
Multnomah County (503) 499-5200
MISS MOLLY TERECIA MEADOWS BS
Physical Therapist
2701 NW VAUGHN ST
PORTLAND, OR 97210
Multnomah County (503) 721-6800
MS. MARY KRISTINE HORTON A.N.P.
Registered Nurse
2701 NW VAUGHN ST, #305
PORTLAND, OR 97210
Multnomah County (503) 279-8252
MELISSA VIDONI DPT
Physical Therapist
2701 NW VAUGHN ST, SUITE 140
PORTLAND, OR 97210
Multnomah County (571) 332-7777
BRIAN S STURGILL MPT
Physical Therapist
2701 NW VAUGHN ST, SUITE 140
PORTLAND, OR 97210
Multnomah County (503) 499-5200
MARCIA BERTALOT ANP
Nurse Practitioner (Adult Health)
2701 NW VAUGHN ST
PORTLAND, OR 97210
Multnomah County (503) 499-5200
FRANCISCO RODRIGUEZ OT
Occupational Therapist
2701 NW VAUGHN ST, SUITE 140
PORTLAND, OR 97210
Multnomah County (503) 499-5148

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 Preston Peterson's NPI number?

The NPI number for Preston Peterson is 1245201508. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Preston Peterson located?

Preston Peterson practices at 2701 NW Vaughn St Suite 160, Portland, OR 97210. The listed phone number is (503) 499-5200.

What is Preston Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Preston Peterson enrolled in Medicare?

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

What insurance does Preston Peterson accept?

Health plans from Kaiser Permanente list Preston 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.

When was this NPI record last updated?

The NPPES record for Preston Peterson was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.