DR. DEVIN R PETERSEN PHD
NPI 1306572441
Psychologist - Health in Corvallis, OR

Active since July 30, 2022PECOS EnrolledAccepts Medicare Assignment
86.23/100
CMS Quality Rating
3517 NW SAMARITAN DR STE 100, CORVALLIS, OR 97330(541) 768-4280 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2023, Oct 13, 2022, Jul 30, 2022 (3 updates tracked since 2022).

About Dr. Devin R Petersen Phd NPPES

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

DR. DEVIN R PETERSEN PHD (NPI 1306572441) is an individual health provider in Corvallis, Oregon and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Corvallis, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306572441
Entity TypeIndividualMale
Primary Taxonomy103TH0004X
Provider Legal NameDR. DEVIN R PETERSENCredential: PHD
Location Address3517 NW SAMARITAN DR STE 100Corvallis, OR 97330-3768
Mailing AddressPo Box 1189Corvallis, OR 97339-1189
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 30, 2022
Last NPPES UpdateOctober 6, 20233 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
NPI 1306572441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers
Taxonomy Code103TH0004X
Definition
A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:
3517 NW SAMARITAN DR STE 100, Corvallis, OR 97330

Secondary Practice Location 1

Location 13517 NW Samaritan Dr Ste 201Corvallis, OR 97330-3769 · Phone (541) 768-5142

Accepted 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

Dr. Devin R Petersen Phd 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 ID2264818749
PECOS Enrollment IDI20221006002225
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 2

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.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
20 services20 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
16 services16 patients

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.

86.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.89
Promoting Interoperability100
Improvement Activities40
Cost66.46

Other Providers at the Same Location NPPES 10

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

Psychologist (Clinical)
3517 NW SAMARITAN DR STE 100
CORVALLIS, OR 97330
Dietitian, Registered
3517 NW SAMARITAN DR STE 100
CORVALLIS, OR 97330
Dietitian, Registered
3517 NW SAMARITAN DR STE 100
CORVALLIS, OR 97330
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3517 NW SAMARITAN DR STE 100
CORVALLIS, OR 97330
Surgery
3517 NW SAMARITAN DR STE 100
CORVALLIS, OR 97330
Nutritionist (Nutrition, Education)
3517 NW SAMARITAN DR STE 100
CORVALLIS, OR 97330
Physician Assistant
3517 NW SAMARITAN DR STE 100
CORVALLIS, OR 97330
Physician Assistant
3517 NW SAMARITAN DR STE 100
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 Devin Petersen's NPI number?

The NPI number for Devin Petersen is 1306572441. It was assigned to this individual provider in the NPPES registry on July 30, 2022.

Where is Devin Petersen located?

Devin Petersen practices at 3517 NW Samaritan Dr Ste 100, Corvallis, OR 97330. The listed phone number is (541) 768-4280.

What is Devin Petersen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Is Devin Petersen enrolled in Medicare?

Yes. Devin Petersen 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 Devin Petersen accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Devin Petersen 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 Devin Petersen was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.