MATTHEW S. PETERSON D.C.
NPI 1508039777
Chiropractor in Elma, WA

Active since April 09, 2008Accepts Medicare Assignment
103 N. 1ST STREET, ELMA, WA 98541(360) 482-5155(360) 482-4155 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew S. Peterson D.c. NPPES

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

MATTHEW S. PETERSON D.C. (NPI 1508039777) is an individual chiropractor in Elma, Washington, licensed in Washington (CH00003029) and active in the NPI registry since April 2008. He is a graduate of Cleveland Chiropractic College - Los Angeles (1994).

NPPES Registry Identity

NPI1508039777
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMATTHEW S. PETERSONCredential: D.C.
Location Address103 N. 1ST STREETElma, WA 98541-0656
Mailing AddressPo Box 656Elma, WA 98541-0656 · (360) 482-5155 · Fax (360) 482-4155
Fax(360) 482-4155
Sole ProprietorYes
Medical School CMSCleveland Chiropractic College - Los AngelesGraduated 1994
Enumeration DateApril 9, 2008
Last NPPES UpdateJune 12, 2008
✔ NPI 1508039777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in WA · CH00003029✔ Licensed in UT · 295378-1202
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
103 N. 1ST STREET, Elma, WA 98541

Other Identifiers 3

Medicare UPINU52337WA
Medicare PING8872157WA
Medicaid2020535WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew S. Peterson D.c. 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 ID3577641273
PECOS Enrollment IDI20080422000202

Medicare Billing Reassignment

Medicare enrollment records show Matthew Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Chiropractor
103 N 1ST STREET
Elma, WA 98541
  • Reassigned Medicare billing, Washington enrollment
  • 2 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.

Areas of Expertise CMS Part B claims

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
1,698 services182 patients

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 Matthew Peterson's NPI number?

The NPI number for Matthew Peterson is 1508039777. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Where is Matthew Peterson located?

Matthew Peterson practices at 103 N. 1st Street, Elma, WA 98541. The listed phone number is (360) 482-5155.

What is Matthew Peterson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Matthew Peterson enrolled in Medicare?

Yes. Matthew Peterson 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.

Which organization bills Medicare for Matthew Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Peterson reassigns Medicare benefits to M & K Etc Inc (Elma, 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 Matthew Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Peterson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Matthew 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 Matthew Peterson was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.