DR. PETER FREDERICK WILSON PSY.D.
NPI 1992897490
Psychologist - Clinical in Gresham, OR

Q: What is Peter Wilson's NPI number?

The NPI number for Peter Wilson is 1992897490. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Peter Wilson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Peter Wilson 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.

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment

1217 NE BURNSIDE RD, BLDG B, SUITE 401, GRESHAM, OR 97030(503) 666-8832(503) 669-8641 Get Directions Write a Review

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

On this page

About Dr. Peter Frederick Wilson Psy.d. NPPES

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

DR. PETER FREDERICK WILSON PSY.D. (NPI 1992897490) is an individual clinical provider in Gresham, Oregon, licensed in Oregon (1467) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1992897490

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PETER FREDERICK WILSONCredential: PSY.D.

Location Address1217 NE BURNSIDE RD, BLDG B, SUITE 401Gresham, OR 97030-6722

Mailing AddressPo Box 82819Portland, OR 97282-0819 · (503) 233-5405 · Fax (503) 233-2696

Phone(503) 666-8832

Fax(503) 669-8641

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateSeptember 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1992897490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 1467

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1217 NE BURNSIDE RD, Gresham, OR 97030

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Other Identifiers 3

Other131734OR · Personal Medicare #

Medicare ID-Type Unspecified0000WDBCHOR · Group #

Medicaid164936OR

Accepted Insurance

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

Dr. Peter Frederick Wilson Psy.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 ID3476598699

PECOS Enrollment IDI20050628000158

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 97030 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

$176.88 typical visit price

range $58.99 – $176.88

Typical copayment $44.22 (range $14.74 – $44.22)

Most-billed visit code 99205

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

KELLEY SCHMAUTZ LMT

Massage Therapist

1217 NE BURNSIDE RD, SUITE 701-D
GRESHAM, OR 97030

Multnomah County (503) 665-8959

GRESHAM THERAPEUTIC MASSAGE CENTER

Specialist

1217 NE BURNSIDE RD, SUITE 502
GRESHAM, OR 97030

Multnomah County (503) 492-3910

SHAYNA CARTER MA

Counselor (Professional)

1217 NE BURNSIDE RD, BUILDING B, SUITE 401
GRESHAM, OR 97030

Multnomah County (503) 666-8832

COLETTE RENEE DELEON LCSW

Social Worker (Clinical)

1217 NE BURNSIDE RD, BUILDING B SUITE 401
GRESHAM, OR 97030

Multnomah County (503) 666-8832

GABRIELA QUINONEZ RIEGOS

Counselor (Mental Health)

1217 NE BURNSIDE RD
GRESHAM, OR 97030

Multnomah County (503) 740-7075

DR. DOUGLAS K. HICKS PH.D.

Psychologist (Clinical)

1217 NE BURNSIDE RD, BUILDING B, SUITE 401
GRESHAM, OR 97030

Multnomah County (503) 666-8832

LLOYD CHANG DDS

Dentist (General Practice)

1217 NE BURNSIDE RD, SUITE 801
GRESHAM, OR 97030

Multnomah County (503) 666-1505

GRESHAM NATUROPATHIC CLINIC, P.C.

General Practice

1217 NE BURNSIDE RD, SUITE 702
GRESHAM, OR 97030

Multnomah County (503) 465-9799

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 Peter Wilson's NPI number?

The NPI number for Peter Wilson is 1992897490. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Peter Wilson located?

Peter Wilson practices at 1217 NE Burnside Rd Bldg B, Suite 401, Gresham, OR 97030. The listed phone number is (503) 666-8832.

What is Peter Wilson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Peter Wilson enrolled in Medicare?

Yes. Peter Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Peter Wilson accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Peter Wilson 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 Peter Wilson 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.