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MARIO CESAR PETERSEN MD
NPI 1760490239
Pediatrics - Developmental - Behavioral Pediatrics in Eugene, OR

Active since August 03, 2006PECOS Enrolled
901 E 18TH AVE, EUGENE, OR 97403(541) 346-3575(541) 346-5844 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Feb 25, 2021, May 31, 2019 and 1 more (4 updates tracked since 2019).

About Mario Cesar Petersen Md NPPES

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

MARIO CESAR PETERSEN MD (NPI 1760490239) is an individual developmental - behavioral pediatrics provider in Eugene, Oregon, licensed in Oregon (MD26196) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1760490239
Entity TypeIndividualMale
Primary Taxonomy2080P0006X
Provider Legal NameMARIO CESAR PETERSENCredential: MD
Location Address901 E 18TH AVEEugene, OR 97403-1354
Mailing Address901 E 18th AveEugene, OR 97403-1354 · (541) 346-3575 · Fax (541) 346-5844
Phone(541) 346-3575
Fax(541) 346-5844
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateAugust 30, 20234 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1760490239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
Licenses✔ Licensed in OR · MD26196✔ Licensed in MI · 4301116723
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedPediatricsTaxonomy 208000000X · License MD26196 (OR)
Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X · License MD26196 (OR), 4301116723 (MI)
901 E 18TH AVE, Eugene, OR 97403
Open in Google Maps ↗

Secondary Practice Location 1

Location 135 Michigan St NE Ste 3003Grand Rapids, MI 49503-2528 · Phone (616) 267-2009

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 (PECOS)

Mario Cesar Petersen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. ALIEH ZAMANY PT, DPT, PCS
Physical Therapist
901 E 18TH AVE
EUGENE, OR 97403
Lane County (310) 941-2113
AMBER CHRISTINE WRIGHT CPNP
Nurse Practitioner (Pediatrics)
901 E 18TH AVE
EUGENE, OR 97403
Lane County (541) 346-3575
ERIKA MALTESE GANT HAMBRICK PT, DPT
Physical Therapist
901 E 18TH AVE
EUGENE, OR 97403
Lane County (541) 346-3575
MS. LESLIE ANNE HOUGHTON MS,RD
Dietitian, Registered
901 E 18TH AVE
EUGENE, OR 97403
Lane County (541) 346-2611
UNIVERSITY PROFESSIONAL SERVICES
Clinic/Center (Multi-Specialty)
901 E 18TH AVE
EUGENE, OR 97403
Lane County (503) 494-9000
UNIVERSITY PROFESSIONAL SERVICES
General Practice
901 E 18TH AVE
EUGENE, OR 97403
Lane County (503) 494-9000
UNIVERSITY PROFESSIONAL SERVICES
General Practice
901 E 18TH AVE
EUGENE, OR 97403
Lane County (503) 494-9000
KATHLEEN A. ROBERTS PHD
Audiologist
901 E 18TH AVE
EUGENE, OR 97403
Lane County (541) 346-3575

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 Mario Petersen's NPI number?

The NPI number for Mario Petersen is 1760490239. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Mario Petersen located?

Mario Petersen practices at 901 E 18th Ave, Eugene, OR 97403. The listed phone number is (541) 346-3575.

What is Mario Petersen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Mario Petersen enrolled in Medicare?

Yes. Mario Petersen is registered in the Medicare PECOS enrollment system.

What insurance does Mario Petersen accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mario Petersen 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 Mario Petersen was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.