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BLAKE PETERSON DPM
NPI 1689027054
Podiatrist - Foot & Ankle Surgery in Newport, OR

Active since July 20, 2016PECOS EnrolledAccepts Medicare Assignment
98.71/100
CMS Quality Rating
930 SW ABBEY ST STE A, NEWPORT, OR 97365(541) 265-8816 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 2, 2026, Nov 17, 2021, Aug 1, 2019 (3 updates tracked since 2019).

About Blake Peterson Dpm NPPES

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

BLAKE PETERSON DPM (NPI 1689027054) is an individual foot & ankle surgery provider in Newport, Oregon, licensed in Oregon (DP207320) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Samaritan North Lincoln Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689027054
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameBLAKE PETERSONCredential: DPM
Location Address930 SW ABBEY ST STE ANewport, OR 97365-4820
Mailing AddressPo Box 2847Corvallis, OR 97339-2847
Phone(541) 265-8816
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 20, 2016
Last NPPES UpdateJanuary 2, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1689027054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in OR · DP207320✔ Licensed in AZ · 000930
Also ListedPodiatristTaxonomy 213E00000X · License T60-2016 (TX)
930 SW ABBEY ST STE A, Newport, OR 97365
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1930 SW Abbey St Ste BNewport, OR 97365-4820 · Phone (541) 574-7235
Location 28130 HawthornTemple, TX 76502 · Phone (480) 338-8552

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Insurance Companies, Inc., Moda Health Plan, Inc. and more.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

Blake Peterson Dpm 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 ID9739469701
PECOS Enrollment IDI20211028003170
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 Reassignments

5

Medicare enrollment records show Blake Peterson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Samaritan Pacific Health Services, Inc.
Same address
Hospice, Inpatient
749 SW 11TH STREET
Newport, OR 97365
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1801847066 (Oregon)
  • 332 clinicians in this Medicare group
NPI 1134277528 (541) 265-4820
Mid-Valley Healthcare Inc
3.5 mi
Addiction Medicine
5840 NW BIGGS ST STE A
Newport, OR 97365
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1073879227 (Oregon)
  • 416 clinicians in this Medicare group
NPI 1740087899 (541) 574-7202
Samaritan North Lincoln Hospital
24 mi
Rural Health
825 NW HIGHWAY 101 STE A
Lincoln City, OR 97367
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1245599224 (Oregon)
  • 277 clinicians in this Medicare group
NPI 1396893327 (541) 996-7480
Good Samaritan Hospital Corvallis
37 mi
Family Medicine
5234 PHILOMATH BOULEVARD
Corvallis, OR 97333
  • Reassigned Medicare billing, Oregon enrollment
  • 522 clinicians in this Medicare group
NPI 1427323690 (541) 768-4970
Albany General Hospital
46 mi
Family Medicine
1086 7TH AVE SW STE 101
Albany, OR 97321
  • Reassigned Medicare billing, Oregon enrollment
  • 432 clinicians in this Medicare group
NPI 1306679816 (541) 812-5530

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 2

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

Samaritan North Lincoln Hospital

Critical Access Hospitals · Lincoln City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381302
Location3043 NE 28th StreetLincoln City, OR 97367 · Lincoln County
Emergency services Birthing friendly

Samaritan Pacific Community Hospital

Critical Access Hospitals · Newport, OR
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381314
Location930 SW Abbey StreetNewport, OR 97365 · Lincoln County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.18
Promoting Interoperability100
Improvement Activities40
Cost91.87

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.

MR. CHRISTOPHER MICHAEL HART PA-C
Physician Assistant
930 SW ABBEY ST STE A
NEWPORT, OR 97365
Lincoln County (541) 265-8816
ASHLEY NICOLE HOWELL DO
Surgery
930 SW ABBEY ST STE A
NEWPORT, OR 97365
Lincoln County (541) 265-8816
ANNE ELIZABETH HARRISON LMSW
Social Worker
930 SW ABBEY ST STE A
NEWPORT, OR 97365
Lincoln County (541) 265-8816
ANGELA LEHRMAN NP
Nurse Practitioner (Family)
930 SW ABBEY ST STE A
NEWPORT, OR 97365
Lincoln County (541) 265-8816
ERIN ELIZABETH GUILIANO LICHY D.O.
Family Medicine
930 SW ABBEY ST STE A
NEWPORT, OR 97365
Lincoln County (541) 265-8816
SEAN MICHAEL RASH MD
Pediatrics
930 SW ABBEY ST STE A
NEWPORT, OR 97365
Lincoln County (541) 265-8816
DR. DAVID ARNOLD LARSEN M.D.
Surgery
930 SW ABBEY ST STE A
NEWPORT, OR 97365
Lincoln County (541) 265-8816
LINELL ELIZABETH WOOD PA-C
Physician Assistant
930 SW ABBEY ST STE A
NEWPORT, OR 97365
Lincoln County (541) 265-8816

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 Blake Peterson's NPI number?

The NPI number for Blake Peterson is 1689027054. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Where is Blake Peterson located?

Blake Peterson practices at 930 SW Abbey St Ste A, Newport, OR 97365. The listed phone number is (541) 265-8816.

What is Blake Peterson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Blake Peterson enrolled in Medicare?

Yes. Blake 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 organizations bill Medicare for Blake Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Peterson reassigns Medicare benefits to 5 organizations: Samaritan Pacific Health Services, Inc. (Newport, OR), Mid-Valley Healthcare Inc (Newport, OR), Samaritan North Lincoln Hospital (Lincoln City, OR), Good Samaritan Hospital Corvallis (Corvallis, OR) and Albany General Hospital (Albany, OR). Each 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 Blake Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Peterson accept?

Health plans from BridgeSpan Health Company, Imperial Insurance Companies, Inc., Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Blake 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 Blake Peterson affiliated with any hospitals?

According to CMS data, Blake Peterson is affiliated with Samaritan North Lincoln Hospital and Samaritan Pacific Community Hospital.

When was this NPI record last updated?

The NPPES record for Blake Peterson was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.