MICHAEL PETERSON PA-C NPI 1144885575

NPI Information

  • NPI: 1144885575
  • Provider Name: MICHAEL PETERSON, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2801 NW MERCY DR STE 300
    ROSEBURG, OR
    ZIP 97471
  • Phone: (541) 677-1555

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NPI Details

Michael Peterson, PA-C is a physician assistant in Roseburg, OR with 6 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Michael Peterson, PA-C NPI is 1144885575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2801 NW MERCY DR STE 300
ROSEBURG, OR
ZIP 97471-348
Phone: (541) 677-1555
Fax: (541) 677-2294

The NPI 1144885575 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Chemical destruction of first incompetent vein of arm or leg using imaging guidance (HCPCS:36482)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection of chemical agent into multiple incompetent veins of leg (HCPCS:36471)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Injection of chemical agent into single incompetent vein (HCPCS:36470)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 5/1/2019 and was last updated on 10/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA197860OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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