DR. GLENN A. PETERSEN M.D.
NPI 1851328645
Family Medicine in Albany, OR

Q: What is Glenn Petersen's NPI number?

The NPI number for Glenn Petersen is 1851328645. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Q: What is Glenn Petersen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Petersen was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 27, 2006PECOS EnrolledAccepts Medicare Assignment

91.4/100

CMS Quality Rating

1700 GEARY ST SE, ALBANY, OR 97322(541) 812-4550 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Glenn A. Petersen M.d. NPPES

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

DR. GLENN A. PETERSEN M.D. (NPI 1851328645) is an individual family medicine provider in Albany, Oregon, licensed in Oregon (MD13466) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Samaritan Albany General Hospital, and is a graduate of Oregon Health Sciences University School Of Medicine (1980).

NPPES Registry Identity

NPI1851328645

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GLENN A. PETERSENCredential: M.D.

Location Address1700 GEARY ST SEAlbany, OR 97322-6842

Mailing AddressPo Box 1188Corvallis, OR 97339-1188

Phone(541) 812-4550

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1980

Enumeration DateJune 27, 2006

Last NPPES UpdateNovember 3, 2020

NPPES CertifiedOctober 29, 2020

✔ NPI 1851328645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD13466

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1700 GEARY ST SE, Albany, OR 97322

Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Glenn A. Petersen M.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 ID8921086646

PECOS Enrollment IDI20040709000694

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

Medicare enrollment records show Glenn Petersen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Albany General Hospital

Same address

Family Medicine

1700 GEARY ST SE STE 400
Albany, OR 97322

Reassigned Medicare billing, Oregon enrollment
432 clinicians in this Medicare group

NPI 1013273275 (541) 812-5500

Good Samaritan Hospital Corvallis

1.7 mi

Internal Medicine

1100 7TH AVE SW
Albany, OR 97321

Reassigned Medicare billing, Oregon enrollment
522 clinicians in this Medicare group

NPI 1063779205 (541) 812-5600

Midv-Valley Healthcare, Inc.

9.8 mi

Pediatrics

701 N 5TH ST, SUITE C-1020
Lebanon, OR 97355

Reassigned Medicare billing, Oregon enrollment
Medicare enrollment name: Mid-Valley Healthcare Inc
416 clinicians in this Medicare group

NPI 1326304577 (541) 451-7820

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

141 services129 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

40 services39 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380022

Location1046 6th Avenue SWAlbany, OR 97321 · Linn County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97322 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.

91.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.63

Promoting Interoperability

100

Improvement Activities

Cost

68.32

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.

JUSTIN MATTHEW LUX PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)