LEIF ERIC PETTERSON JR. NP
NPI 1730559360
Nurse Practitioner - Family in Redmond, OR

Q: What is Leif Petterson's NPI number?

The NPI number for Leif Petterson is 1730559360. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Q: What is Leif Petterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Leif Petterson was last updated on January 18, 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.

Active since September 24, 2015PECOS EnrolledAccepts Medicare Assignment

1250 SW VETERANS WAY STE 120, REDMOND, OR 97756(541) 383-3005(541) 383-1883 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Leif Eric Petterson Jr. Np NPPES

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

LEIF ERIC PETTERSON JR. NP (NPI 1730559360) is an individual family provider in Redmond, Oregon, licensed in Oregon (202008709NP-PP) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1730559360

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameLEIF ERIC PETTERSON JR.Credential: NP

Location Address1250 SW VETERANS WAY STE 120Redmond, OR 97756-2588

Mailing Address600 Sw Columbia St Ste 6250Bend, OR 97702-1099 · (541) 383-3005 · Fax (541) 383-1883

Phone(541) 383-3005

Fax(541) 383-1883

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 24, 2015

Last NPPES UpdateJanuary 18, 2023

NPPES CertifiedJanuary 18, 2023

✔ NPI 1730559360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in OR · 202008709NP-PP✔ Licensed in CT · 006253

1250 SW VETERANS WAY STE 120, Redmond, OR 97756

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Accepted Insurance

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

Leif Eric Petterson Jr. Np 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 ID8820379720

PECOS Enrollment IDI20170109002133, I20210208001826

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 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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

40 services31 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

25 services19 patients

Hospital Affiliations CMS Care Compare 2

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380047

Location2500 NE Neff RoadBend, OR 97701 · Deschutes County

Emergency services Birthing friendly

St Charles Madras

Critical Access Hospitals · Madras, OR

OwnershipVoluntary non-profit - Private

CMS Certification Number381324

Location470 NE A StreetMadras, OR 97741 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97756 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

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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

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

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

1 supplier11 claims11 services$88.22 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 20

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

EMILY BESKAR PHARMD

Pharmacist