PETER BODMER
NPI 1639570120
Physician Assistant in Salem, OR

Active since September 16, 2014PECOS EnrolledAccepts Medicare Assignment
255 LANCASTER DR NE, SALEM, OR 97301(503) 576-8400(503) 364-0775 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peter Bodmer NPPES

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

PETER BODMER (NPI 1639570120) is an individual physician assistant in Salem, Oregon, licensed in Oregon (PA174107) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1639570120
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePETER BODMER
Location Address255 LANCASTER DR NESalem, OR 97301-5155
Mailing Address255 Lancaster Dr NeSalem, OR 97301-5155 · (503) 576-8400 · Fax (503) 364-0775
Fax(503) 364-0775
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 16, 2014
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
NPI 1639570120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OR · PA174107
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
255 LANCASTER DR NE, Salem, OR 97301

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Peter Bodmer 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 ID4880994250
PECOS Enrollment IDI20151208001658
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 97301 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 20

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
255 LANCASTER DR NE
SALEM, OR 97301
Dietitian, Registered
255 LANCASTER DR NE
SALEM, OR 97301
Nurse Practitioner
255 LANCASTER DR NE
SALEM, OR 97301
Social Worker (Clinical)
255 LANCASTER DR NE
SALEM, OR 97301
Dentist
255 LANCASTER DR NE
SALEM, OR 97301
Clinical Medical Laboratory
255 LANCASTER DR NE
SALEM, OR 97301
Physician Assistant
255 LANCASTER DR NE
SALEM, OR 97301
Physician Assistant
255 LANCASTER DR NE
SALEM, OR 97301

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 Peter Bodmer's NPI number?

The NPI number for Peter Bodmer is 1639570120. It was assigned to this individual provider in the NPPES registry on September 16, 2014.

Where is Peter Bodmer located?

Peter Bodmer practices at 255 Lancaster Dr NE, Salem, OR 97301. The listed phone number is (503) 576-8400.

What is Peter Bodmer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Peter Bodmer enrolled in Medicare?

Yes. Peter Bodmer 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.

What insurance does Peter Bodmer accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Peter Bodmer 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 Peter Bodmer was last updated on March 3, 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.