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DR. KIM A PETERSON DO
NPI 1821028960
Emergency Medicine in Hermiston, OR

Active since July 04, 2006PECOS Enrolled
91.35/100
CMS Quality Rating
610 NW 11TH ST, HERMISTON, OR 97838(541) 667-3439(541) 667-3414 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kim A Peterson Do NPPES

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

DR. KIM A PETERSON DO (NPI 1821028960) is an individual emergency medicine provider in Hermiston, Oregon, licensed in Oregon (DO16339) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821028960
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KIM A PETERSONCredential: DO
Location Address610 NW 11TH STHermiston, OR 97838-6601
Mailing AddressPo Box 1724Hermiston, OR 97838-3724 · (541) 564-9034
Phone(541) 667-3439
Fax(541) 667-3414
Sole ProprietorYes
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821028960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OR · DO16339
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
610 NW 11TH ST, Hermiston, OR 97838
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Other Identifiers 2

Medicaid077920OR
Medicare UPINE59371OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim A Peterson Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97838 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.

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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.29
Promoting Interoperability100
Improvement Activities40

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.

ELLY RANZONI
Community Health Worker
610 NW 11TH ST
HERMISTON, OR 97838
Umatilla County (541) 667-3709
RACHEL ANN PALMER RN
Registered Nurse
610 NW 11TH ST
HERMISTON, OR 97838
Umatilla County (541) 567-5303
CHRISTOPHER JAMES EDEN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
610 NW 11TH ST
HERMISTON, OR 97838
Umatilla County (541) 667-3400
RICK BURRILL PT
Physical Therapist
610 NW 11TH ST
HERMISTON, OR 97838
Umatilla County (541) 667-3657
GRETCHEN L MILLARD MS RD LD
Dietitian, Registered
610 NW 11TH ST
HERMISTON, OR 97838
Umatilla County (541) 667-3400
SANYI YOSEPH ABDISSA
Physician Assistant
610 NW 11TH ST
HERMISTON, OR 97838
Umatilla County (541) 667-3400
MIGUEL ANGEL ASCENCIO
Community Health Worker
610 NW 11TH ST
HERMISTON, OR 97838
Umatilla County (541) 667-3567
CHRISTINE WEBB
Physical Therapist
610 NW 11TH ST
HERMISTON, OR 97838
Umatilla County (541) 667-3657

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 Kim Peterson's NPI number?

The NPI number for Kim Peterson is 1821028960. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Kim Peterson located?

Kim Peterson practices at 610 NW 11th St, Hermiston, OR 97838. The listed phone number is (541) 667-3439.

What is Kim Peterson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kim Peterson enrolled in Medicare?

Yes. Kim Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kim Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.