DR. MARK W PETERSON M.D.
NPI 1356312524
Radiology - Vascular & Interventional Radiology in Lewiston, ID
About Dr. Mark W Peterson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK W PETERSON M.D. (NPI 1356312524) is an individual vascular & interventional radiology provider in Lewiston, Idaho, licensed in Idaho (M5240) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mark W Peterson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tacoma, WA 98405
- Reassigned Medicare billing, Oregon enrollment
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mark Peterson's NPI number?
The NPI number for Mark Peterson is 1356312524. It was assigned to this individual provider in the NPPES registry on January 27, 2006.
Where is Mark Peterson located?
Mark Peterson practices at 415 6th St, Lewiston, ID 83501. The listed phone number is (208) 799-5335.
What is Mark Peterson's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Mark Peterson enrolled in Medicare?
Yes. Mark Peterson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mark Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Peterson reassigns Medicare benefits to Tra-Minw P S (Tacoma, WA). 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 Mark Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Peterson accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Mark 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 Mark Peterson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Dr. Mark W Peterson, M.D. · NPI 1356312524
Vascular & Interventional Radiology physician in Lewiston, Idaho. Individual provider, active in the CMS NPPES registry since January 27, 2006.
## Identity
- **NPI:** 1356312524 (Entity type: Individual)
- **Enumerated:** January 27, 2006
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **State license:** M5240 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 415 6TH ST, Lewiston, ID 83501-2431
- **Phone:** (208) 799-5335
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tra-Minw P S (NPI 1396814166, Tacoma, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Other P00165374; Other 0192980 (WA); Other 000010005909 (ID); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1356312524) · Data from the CMS NPPES public registry.