DR. CHRISTINA E PETERSON MD
NPI 1245394022
Psychiatry & Neurology - Neurology in Clackamas, OR

Active since December 19, 2006Opted out of Medicare · through Mar 22, 2028
15259 SE 82ND DR, 201B, CLACKAMAS, OR 97015(503) 656-9844(503) 656-3120 Get Directions Write a Review

NPPES record last updated: September 2, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Christina E Peterson Md NPPES

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

DR. CHRISTINA E PETERSON MD (NPI 1245394022) is an individual neurology provider in Clackamas, Oregon, licensed in Oregon (MD13675) and active in the NPI registry since December 2006. She has opted out of Medicare through March 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245394022
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. CHRISTINA E PETERSONCredential: MD
Location Address15259 SE 82ND DR, 201BClackamas, OR 97015-6609
Mailing Address15259 Se 82nd Dr, 201bClackamas, OR 97015-6609 · (503) 656-9844 · Fax (503) 656-3120
Fax(503) 656-3120
Sole ProprietorNo
Enumeration DateDecember 19, 2006
Last NPPES UpdateSeptember 2, 2009
NPI 1245394022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in OR · MD13675 Licensed in AK · 2839
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

15259 SE 82ND DR, Clackamas, OR 97015

Other Identifiers 3

Medicare UPINC93513
Medicare ID-Type Unspecified0000BHVQB
Medicare ID-Type Unspecified0000BLCGJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Christina E Peterson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 22, 2016 through March 22, 2028.

Opt-Out Effective DateMarch 22, 2016
Opt-Out In Effect ThroughMarch 22, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist (Vision Therapy)
15259 SE 82ND DR, SUITE 101
CLACKAMAS, OR 97015
Optometrist
15259 SE 82ND DR, SUITE 101
CLACKAMAS, OR 97015
Optometrist
15259 SE 82ND DR, SUITE 101
CLACKAMAS, OR 97015
Optometrist
15259 SE 82ND DR, SUITE 101
CLACKAMAS, OR 97015

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 Christina Peterson's NPI number?

The NPI number for Christina Peterson is 1245394022. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Christina Peterson located?

Christina Peterson practices at 15259 SE 82nd Dr 201B, Clackamas, OR 97015. The listed phone number is (503) 656-9844.

What is Christina Peterson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Christina Peterson enrolled in Medicare?

No. Christina Peterson has opted out of Medicare through March 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Christina Peterson was last updated on September 2, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.