MR. JON T PETERSON DO
NPI 1669553723
Family Medicine in Anacortes, WA

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
1213 24TH ST STE 100, ANACORTES, WA 98221(360) 293-3101 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jan 7, 2021 (2 updates tracked since 2021).

About Mr. Jon T Peterson Do NPPES

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

MR. JON T PETERSON DO (NPI 1669553723) is an individual family medicine provider in Anacortes, Washington, licensed in Washington (OP00001517) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and maintains a secondary practice location in Olympia.

NPPES Registry Identity

NPI1669553723
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. JON T PETERSONCredential: DO
Location Address1213 24TH ST STE 100Anacortes, WA 98221-2595
Mailing Address4804 Sunset Beach Drive NwOlympia, WA 98502 · (360) 867-0595
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateOctober 17, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
NPI 1669553723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · OP00001517
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1213 24TH ST STE 100, Anacortes, WA 98221

Secondary Practice Location 1

Location 12960-A LIMITED LANE NWOlympia, WA 98502 · Phone (360) 709-9500 · Fax (360) 754-4517

Other Identifiers 13

OtherA1820Premera Health
Other3568326Aetna Hmo
Other50D1031645Clia
OtherOP00001517Wa State License
Other601371600Us Dept Of Labor
OtherA1825Premera Lifewise
Other8192247Dshs
OtherA1820Premera Dimensions
OtherO186018L & I
Other2007PEBlueshield Federal
Other2007PERegence Blueshield
Other5617199Aetna Non Hmo
OtherA1820Premera Blue Cross

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

Mr. Jon T Peterson Do 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 ID244218741
PECOS Enrollment IDI20040712000279
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.

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Island Hospital

Acute Care Hospitals · Anacortes, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500007
Location1211 24th StreetAnacortes, WA 98221 · Skagit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98221 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers34 claims134 services$5.38 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier30 claims30 services$17.72 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers41 claims41 services$109.34 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Obstetrics & Gynecology
1213 24TH ST STE 100
ANACORTES, WA 98221
Registered Nurse
1213 24TH ST STE 100
ANACORTES, WA 98221
Family Medicine
1213 24TH ST STE 100
ANACORTES, WA 98221
Family Medicine
1213 24TH ST STE 100
ANACORTES, WA 98221
Obstetrics & Gynecology
1213 24TH ST STE 100
ANACORTES, WA 98221
Nurse Practitioner (Family)
1213 24TH ST STE 100
ANACORTES, WA 98221
Internal Medicine
1213 24TH ST STE 100
ANACORTES, WA 98221
Family Medicine
1213 24TH ST STE 100
ANACORTES, WA 98221

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 Jon Peterson's NPI number?

The NPI number for Jon Peterson is 1669553723. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Jon Peterson located?

Jon Peterson practices at 1213 24th St Ste 100, Anacortes, WA 98221. The listed phone number is (360) 293-3101.

What is Jon Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jon Peterson enrolled in Medicare?

Yes. Jon 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.

What insurance does Jon Peterson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jon 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 Jon Peterson affiliated with any hospitals?

According to CMS data, Jon Peterson is affiliated with Skagit Valley Hospital and Island Hospital.

When was this NPI record last updated?

The NPPES record for Jon Peterson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.