DR. SHANE EMBER PETERSON M.D.
NPI 1881919918
Emergency Medicine in Salem, OR

Active since March 31, 2010PECOS Enrolled
890 OAK ST SE, SALEM, OR 97301(503) 814-1278 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Shane Ember Peterson M.d. NPPES

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

DR. SHANE EMBER PETERSON M.D. (NPI 1881919918) is an individual emergency medicine provider in Salem, Oregon, licensed in Oregon (MD171431) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881919918
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SHANE EMBER PETERSONCredential: M.D.
Location Address890 OAK ST SESalem, OR 97301-3905
Mailing Address890 Oak St SeSalem, OR 97301-3905 · (503) 814-1278
Sole ProprietorNo
Enumeration DateMarch 31, 2010
Last NPPES UpdateMay 3, 2018
NPI 1881919918 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 · MD171431
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.

890 OAK ST SE, Salem, OR 97301

Accepted 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)

Dr. Shane Ember Peterson M.d. 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.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
183 services177 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
155 services136 patients
Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
100 services99 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
41 services36 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97301 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.

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.

Registered Nurse (Case Management)
890 OAK ST SE
SALEM, OR 97301
Registered Nurse
890 OAK ST SE
SALEM, OR 97301
Pharmacist
890 OAK ST SE, SUITE 1090
SALEM, OR 97301
Registered Nurse (Registered Nurse First Assistant)
890 OAK ST SE
SALEM, OR 97301
Hospitalist
890 OAK ST SE, BLDG B
SALEM, OR 97301
Hospitalist
890 OAK ST SE
SALEM, OR 97301
Pharmacist (Pharmacotherapy)
890 OAK ST SE
SALEM, OR 97301
Emergency Medicine
890 OAK ST SE, DEPARTMENT OF EMERGENCY MEDICINE
SALEM, OR 97301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881919918, enumerated as an "individual" on March 31, 2010.

The provider is located at 890 OAK ST SE SALEM, OR 97301 and the phone number is (503) 814-1278.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.