PEACEHEALTH MEDICAL GROUP
NPI 1447207287
Family Medicine in Eugene, OR
NPI Status: Active since May 27, 2006
Contact Information
1200 HILYARD ST
EUGENE, OR
ZIP 97401
Phone: (541) 687-6217
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 38D2136818
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-18-2025
About PEACEHEALTH MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Peacehealth Medical Group, a primary care provider established in Eugene, Oregon operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1447207287 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated February 2026. Peacehealth Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Lori Kettler (Provider Enrollment Lead)
- NPI
- 1447207287
- Provider Name
- PEACEHEALTH MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 1200 HILYARD ST EUGENE, OR 97401
- Location Phone
- (541) 687-6217
- Mailing Address
- PO BOX 24410 EUGENE, OR 97402
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2006
- Last Update Date
- 02-13-2026
- Code Navigator
A primary care provider (PCP) like Peacehealth Medical Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- OR
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | (OR) |
| 2 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | (OR) |
| 3 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | (OR) |
| 4 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | (OR) |
| 5 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | (OR) |
| 6 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | (OR) |
| 7 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | (OR) |
| 8 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | (OK) |
| 9 | 2084A0401X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (OR) |
| 10 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (OR) |
| 11 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | (OR) |
| 12 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | (OR) |
| 13 | 291U00000X | Laboratories | Clinical Medical Laboratory | |
| 14 | 367A00000X | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife | (OR) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- Bronze 8000 Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Silver 6500 Individual Connect - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 071634 | MEDICAID (05) | OR |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2136818
- Facility Type
- Physician Office
- Certificate Effective Date
- December 19, 2023
- Certificate Expiration Date
- December 18, 2025
- Laboratory Director
- DR. SEAN C. MCELLIGOT MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Peacehealth Medical Group after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1447207287, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
EUGENE, OR 97401
EUGENE, OR 97401
EUGENE, OR 97401
EUGENE, OR 97401
EUGENE, OR 97401
EUGENE, OR 97401
EUGENE, OR 97401
EUGENE, OR 97401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447207287, enumerated as an "organization" on May 27, 2006.
The provider is located at 1200 HILYARD ST EUGENE, OR 97401 and the phone number is (541) 687-6217.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.