PATRICK C PETERSON PA-C - NPI 1437260171 - Physician Assistant in Liberty Lake, WA

Q: What is Patrick Peterson's NPI number?

The NPI number for Patrick Peterson is 1437260171. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Patrick Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Peterson was last updated on December 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Patrick C Peterson Pa-c NPPES

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

PATRICK C PETERSON PA-C (NPI 1437260171) is an individual physician assistant in Liberty Lake, Washington, licensed in Washington (PA10003923) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437260171

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NamePATRICK C PETERSONCredential: PA-C

Location Address1326 N STANFORD LNLiberty Lake, WA 99019-5034

Mailing AddressPo Box 3649Spokane, WA 99220-3649

Phone(509) 838-2531

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateDecember 12, 2011

✔ NPI 1437260171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WA · PA10003923

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1326 N STANFORD LN, Liberty Lake, WA 99019

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Other Identifiers 4

Other0212972WA · L&i

Medicare UPINP25179

Medicaid8427494WA

Medicare PIN8861516WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.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)

Patrick C Peterson Pa-c 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 99019 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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 10

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

ALLEN R SEELY MD

Family Medicine