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JOHN L. PETERSEN MD
NPI 1306926225
Internal Medicine - Cardiovascular Disease in Seattle, WA

Active since October 16, 2006PECOS Enrolled
801 BROADWAY STE 808, SEATTLE, WA 98122(206) 292-7990(206) 292-4882 Get Directions Write a Review

NPPES record last updated: February 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John L. Petersen Md NPPES

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

JOHN L. PETERSEN MD (NPI 1306926225) is an individual cardiovascular disease provider in Seattle, Washington, licensed in Washington (MD00010656) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306926225
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJOHN L. PETERSENCredential: MD
Location Address801 BROADWAY STE 808Seattle, WA 98122-4328
Mailing AddressPo Box 84026Seattle, WA 98124-8426 · (206) 292-7990
Phone(206) 292-7990
Fax(206) 292-4882
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateFebruary 17, 2009
✔ NPI 1306926225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in WA · MD00010656
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
801 BROADWAY STE 808, Seattle, WA 98122
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Other Identifiers 3

Medicare UPINA 05360
Medicaid8125205WA
Medicare PINAB 07198WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John L. Petersen 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 98122 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
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

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

DAVID E. PANTHER PA-C
Internal Medicine (Cardiovascular Disease)
801 BROADWAY STE 808
SEATTLE, WA 98122
King County (206) 292-7990

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 John Petersen's NPI number?

The NPI number for John Petersen is 1306926225. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is John Petersen located?

John Petersen practices at 801 Broadway Ste 808, Seattle, WA 98122. The listed phone number is (206) 292-7990.

What is John Petersen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Petersen enrolled in Medicare?

Yes. John Petersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Petersen was last updated on February 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.