1. Home
  2. Directory
  3. Oregon
  4. Grants Pass
  5. Audiologist
  6. NPI Profile

DR. SAMUEL NOLAN PETERSON AU.D.
NPI 1720332968
Audiologist in Grants Pass, OR

Active since November 08, 2012Accepts Medicare Assignment
83.32/100
CMS Quality Rating
1867 WILLIAMS HWY, STE. 105, GRANTS PASS, OR 97527(541) 474-4694(541) 474-9590 Get Directions Write a Review

NPPES record last updated: November 8, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Samuel Nolan Peterson Au.d. NPPES

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

DR. SAMUEL NOLAN PETERSON AU.D. (NPI 1720332968) is an individual audiologist in Grants Pass, Oregon, licensed in Oregon (23642) and active in the NPI registry since November 2012. He is a graduate of Other (2012).

NPPES Registry Identity

NPI1720332968
Entity TypeIndividualMale
Primary Taxonomy231H00000X
Provider Legal NameDR. SAMUEL NOLAN PETERSONCredential: AU.D.
Location Address1867 WILLIAMS HWY, STE. 105Grants Pass, OR 97527-5854
Mailing Address1867 Williams Hwy, Ste. 105Grants Pass, OR 97527-5854 · (541) 474-4694 · Fax (541) 474-9590
Phone(541) 474-4694
Fax(541) 474-9590
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 8, 2012
✔ NPI 1720332968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in OR · 23642
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
1867 WILLIAMS HWY, Grants Pass, OR 97527
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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

Dr. Samuel Nolan Peterson Au.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 ID6800106956
PECOS Enrollment IDI20151211002022

Areas of Expertise CMS Part B claims 2

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.

Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
131 services131 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97527 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
$54.96 typical visit price
range $54.96 – $166.64
Typical copayment $13.74 (range $13.74 – $41.66)
Most-billed visit code 99202
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.

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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

Other Providers at the Same Location NPPES

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

MR. CARL STACEY BERG MASTER OF SCIENCE MS
Audiologist
1867 WILLIAMS HWY, SUITE 105
GRANTS PASS, OR 97527
Josephine County (541) 474-4694

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 Samuel Peterson's NPI number?

The NPI number for Samuel Peterson is 1720332968. It was assigned to this individual provider in the NPPES registry on November 8, 2012.

Where is Samuel Peterson located?

Samuel Peterson practices at 1867 Williams Hwy Ste. 105, Grants Pass, OR 97527. The listed phone number is (541) 474-4694.

What is Samuel Peterson's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Samuel Peterson enrolled in Medicare?

Yes. Samuel 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 Samuel Peterson accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Samuel 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.

When was this NPI record last updated?

The NPPES record for Samuel Peterson was last updated on November 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.