PEACEHEALTH MEDICAL GROUP
NPI 1609061969
Surgery in Vancouver, WA

Active since September 10, 2007
505 NE 87TH AVE, SUITE 301, VANCOUVER, WA 98664(360) 514-7374(360) 514-7384 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 8, 2021, Feb 9, 2021, Aug 26, 2020 and 1 more (4 updates tracked since 2020).

About Peacehealth Medical Group NPPES

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

PEACEHEALTH MEDICAL GROUP (NPI 1609061969) is a healthcare organization registered as a surgery in Vancouver, Washington and active in the NPI registry since September 2007. The organization lists Darrin Montalvo, Evp Chief Finan-growth Officer, as its authorized official.

NPPES Registry Identity

NPI1609061969
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePEACEHEALTH
Location Address505 NE 87TH AVE, SUITE 301Vancouver, WA 98664-1965
Mailing Address1115 Se 164th Ave, Dept 358Vancouver, WA 98683-9324 · (360) 729-1412 · Fax (360) 501-7555
Fax(360) 514-7384
Organization SubpartNo
Authorized OfficialDarrin MontalvoEvp Chief Finan-growth Officer · (360) 729-1102
Enumeration DateSeptember 10, 2007
Last NPPES UpdateMarch 8, 20214 updates tracked since enumeration
NPPES CertifiedMarch 8, 2021
✔ NPI 1609061969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WA · MD00027022
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
505 NE 87TH AVE, Vancouver, WA 98664

Other Names 1

Doing Business AsPeacehealth Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peacehealth Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

310

Medicare enrollment records show 310 clinicians reassign Medicare billing to Peacehealth Medical Group, which bills Medicare for the services they deliver. Of these, 68 practice at this address and 187 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 34

Family Practice52
Obstetrics/Gynecology45
Nurse Practitioner26
General Surgery22
Thoracic Surgery14
Pulmonary Disease13
Neurology11
Gastroenterology9
26 other specialties118

Nearest to this location (20)

See all 310
Obstetrics/Gynecology
NPI 1821354424
505 NE 87TH AVE STE 160
Vancouver, WA 98664
(360) 514-1060
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1093704959
505 NE 87TH AVE STE 301
Vancouver, WA 98664
(360) 514-7374
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1417344219
505 NE 87TH AVE STE 301
Vancouver, WA 98664
(360) 514-1854
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1235180696
505 NE 87TH AVE STE 100
Vancouver, WA 98664
(360) 514-7210
✔ PECOS✔ Accepts MedicareSame address
Hematology
NPI 1689777583
505 NE 87TH AVE STE 320
Vancouver, WA 98664
(360) 514-2550
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1750875803
505 NE 87TH AVE STE 460
Vancouver, WA 98664
(360) 514-2470
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1649264680
505 NE 87TH AVE BUILDING B, SUITE 301
Vancouver, WA 98664
(360) 514-1854
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1417319922
505 NE 87TH AVE STE 301
Vancouver, WA 98664
(360) 514-1854
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1982684288
505 NE 87TH AVE STE 160
Vancouver, WA 98664
(360) 514-1060
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1235157496
505 NE 87TH AVE SUITE 460
Vancouver, WA 98664
(360) 514-7771
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1306486626
505 NE 87TH AVE STE 460
Vancouver, WA 98664
(360) 514-2470
Same address
Nurse Practitioner
NPI 1467800425
505 NE 87TH AVE STE 301
Vancouver, WA 98664
(360) 514-1854
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1730422015
505 NE 87TH AVE STE 350
Vancouver, WA 98664
(360) 514-2550
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1770563470
505 NE 87TH AVE STE 250
Vancouver, WA 98664
(360) 514-7060
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1801455209
505 NE 87TH AVE STE 301
Vancouver, WA 98664
(360) 514-1854
✔ PECOSSame address
Family Practice
NPI 1457971244
505 NE 87TH AVE STE 260
Vancouver, WA 98664
(360) 514-6450
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1164854725
505 NE 87TH AVE STE 100
Vancouver, WA 98664
(360) 514-7210
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1093144222
505 NE 87TH AVE STE 350
Vancouver, WA 98664
(360) 514-2550
✔ PECOS✔ Accepts MedicareSame address
Sleep Medicine
NPI 1124088406
505 NE 87TH AVE STE. 460
Vancouver, WA 98664
(360) 514-7771
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1982877478
505 NE 87TH AVE SUITE 301
Vancouver, WA 98664
(360) 514-1854
✔ PECOS✔ Accepts MedicareSame address
See all 310 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Peacehealth Medical Group Eye Care carries, from the Medicare DMEPOS supplier directory.

Peacehealth Medical Group Eye Care

DMEPOS supplier · Vancouver, WAOperated by Peacehealth
✔

Accepts Medicare assignment

Peacehealth Medical Group Eye Care agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20559809
Medicare Participant SinceJanuary 1, 2008
Supplier Location505 NE 87th Ave Suite 100Vancouver, WA 98664
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Peacehealth's NPI number?

The NPI number for Peacehealth is 1609061969. It was assigned to this organization in the NPPES registry on September 10, 2007. The provider is doing business as Peacehealth Medical Group.

Where is Peacehealth located?

Peacehealth is located at 505 NE 87th Ave Suite 301, Vancouver, WA 98664. The listed phone number is (360) 514-7374.

What is Peacehealth's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Peacehealth enrolled in Medicare?

Yes. Peacehealth is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peacehealth?

According to the CMS Revalidation Reassignment List (October 2026 release), 310 clinicians in 34 Medicare specialties reassign their Medicare billing to Peacehealth. A 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 the clinician's services. The largest specialties are Family Practice (52), Obstetrics/Gynecology (45) and Nurse Practitioner (26). Of these, 68 practice at this address and 187 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Peacehealth accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Peacehealth Medical Group Eye Care accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Peacehealth accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska and 2 other insurers list Peacehealth 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 Peacehealth was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.