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SEAN LUKE PETERSON M.D.
NPI 1619362001
Surgery in Clackamas, OR

Active since April 02, 2015PECOS EnrolledAccepts Medicare Assignment
10180 SE SUNNYSIDE RD OFC EGS, CLACKAMAS, OR 97015(503) 813-2000 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 2, 2021, May 6, 2021, Aug 27, 2020 (3 updates tracked since 2020).

About Sean Luke Peterson M.d. NPPES

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

SEAN LUKE PETERSON M.D. (NPI 1619362001) is an individual surgery provider in Clackamas, Oregon, licensed in Oregon (MD201352) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (2015).

NPPES Registry Identity

NPI1619362001
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSEAN LUKE PETERSONCredential: M.D.
Location Address10180 SE SUNNYSIDE RD OFC EGSClackamas, OR 97015-8970
Mailing Address10180 Se Sunnyside Rd OfcClackamas, OR 97015-8970 · (503) 813-2000
Phone(503) 813-2000
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2015
Enumeration DateApril 2, 2015
Last NPPES UpdateDecember 2, 20213 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1619362001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in OR · MD201352✔ Licensed in WA · MD61103323✔ Licensed in MN · 63579✔ Licensed in IA · MD47700✔ Licensed in WI · 73695-20
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10180 SE SUNNYSIDE RD OFC EGS, Clackamas, OR 97015
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Other Names 1

Former Name (1)Sean Luke Weinberg M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.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

Sean Luke Peterson M.d. 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 ID6305142928
PECOS Enrollment IDI20211122001923
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.

Medicare Billing Reassignment

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

Kaiser Foundation Health Plan Of The Northwest
0.3 mi
Sleep Disorder Diagnostic
9717 SE SUNNYSIDE RD, 3RD FLOOR
Clackamas, OR 97015
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1174851505 (503) 659-2454

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaiser Sunnyside Medical Center

Acute Care Hospitals · Clackamas, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380091
Location10180 SE Sunnyside RoadClackamas, OR 97015 · Clackamas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

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 Sean Peterson's NPI number?

The NPI number for Sean Peterson is 1619362001. It was assigned to this individual provider in the NPPES registry on April 2, 2015. The provider is also known as Sean Luke Weinberg M.D..

Where is Sean Peterson located?

Sean Peterson practices at 10180 SE Sunnyside Rd Ofc Egs, Clackamas, OR 97015. The listed phone number is (503) 813-2000.

What is Sean Peterson's specialty?

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

Is Sean Peterson enrolled in Medicare?

Yes. Sean 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 Sean Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Peterson reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR). 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 Sean Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Peterson accept?

Health plans from Kaiser Permanente list Sean 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.

Is Sean Peterson affiliated with any hospitals?

According to CMS data, Sean Peterson is affiliated with Kaiser Sunnyside Medical Center.

When was this NPI record last updated?

The NPPES record for Sean Peterson was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.