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DR. KATHRYN ELIZABETH PETERSCHMIDT D.M.D
NPI 1609285774
Dentist - General Practice in Keizer, OR

Active since August 03, 2014PECOS Enrolled
6395 KEIZER STATION BLVD NE, #101, KEIZER, OR 97303(971) 267-2033 Get Directions Write a Review

NPPES record last updated: November 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathryn Elizabeth Peterschmidt D.m.d NPPES

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

DR. KATHRYN ELIZABETH PETERSCHMIDT D.M.D (NPI 1609285774) is an individual general practice provider in Keizer, Oregon, licensed in Oregon (D10093) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609285774
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KATHRYN ELIZABETH PETERSCHMIDTCredential: D.M.D
Location Address6395 KEIZER STATION BLVD NE, #101Keizer, OR 97303-2305
Mailing Address151 W Washington St.Stayton, OR 97383 · (503) 769-2788 · Fax (503) 769-2728
Phone(971) 267-2033
Sole ProprietorNo
Enumeration DateAugust 3, 2014
Last NPPES UpdateNovember 23, 2015
✔ NPI 1609285774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D10093
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6395 KEIZER STATION BLVD NE, Keizer, OR 97303
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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)

Dr. Kathryn Elizabeth Peterschmidt D.m.d 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 97303 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 6

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

TERESSA S MOORE LMT
Massage Therapist
6395 KEIZER STATION BLVD NE, STE 103
KEIZER, OR 97303
Marion County (503) 589-1597
KACIE HINOJOSA
Massage Therapist
6395 KEIZER STATION BLVD NE
KEIZER, OR 97303
Marion County (503) 589-1597
NORA BAULDREE LMT
Massage Therapist
6395 KEIZER STATION BLVD NE
KEIZER, OR 97303
Marion County (503) 589-1597
ROBERT JOHN SHUTE
Massage Therapist
6395 KEIZER STATION BLVD NE
KEIZER, OR 97303
Marion County (503) 589-1597
MISS MARGI D PRINGLE LMT
Massage Therapist
6395 KEIZER STATION BLVD NE, SUITE #103
KEIZER, OR 97303
Marion County (503) 589-1597
NATHAN DAVID VANDERBURG L.M.T
Specialist
6395 KEIZER STATION BLVD NE
KEIZER, OR 97303
Marion County (503) 589-1597

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 Kathryn Peterschmidt's NPI number?

The NPI number for Kathryn Peterschmidt is 1609285774. It was assigned to this individual provider in the NPPES registry on August 3, 2014.

Where is Kathryn Peterschmidt located?

Kathryn Peterschmidt practices at 6395 Keizer Station Blvd NE #101, Keizer, OR 97303. The listed phone number is (971) 267-2033.

What is Kathryn Peterschmidt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kathryn Peterschmidt enrolled in Medicare?

Yes. Kathryn Peterschmidt is registered in the Medicare PECOS enrollment system.

What insurance does Kathryn Peterschmidt accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Kathryn Peterschmidt 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 Kathryn Peterschmidt was last updated on November 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.