Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619362001 Individual Practitioner Male Practitioner

Dr. Sean Luke Peterson , MD

Surgery • Clackamas, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sean Peterson, MD is a certified Surgery practicing in Clackamas, OR. With approximately 11 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2015, Dr. Peterson delivers high-quality medical care to the local community at 10180 SE SUNNYSIDE RD OFC EGS.

Dr. Peterson is affiliated with Kaiser Foundation Health Plan Of The Northwest and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic examination of the anus using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10180 Se Sunnyside Rd Ofc Egs

Clackamas, OR 970158970

Telephone 5038132000
Associated Practice Facility / Clinic
🏢 Kaiser Foundation Hospitals Facility NPI 1235512765

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Clackamas, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -12.8 yrs vs City Avg
City Avg: 23.8 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
17 Specialists

Practicing in Clackamas, OR (555 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (11 Years) 11 Yrs
Clackamas Specialty Average (23.8 Years) 23.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
16 15 $174.00 $66.03
46600 Diagnostic examination of the anus using an endoscope
13 13 $117.00 $39.39

Medical Specialties & State Licenses

CMS Verified: 2021-12-02
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR MD201352

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License WA MD61103323

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License MN 63579

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License IA MD47700

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License WI 73695-20

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of The Northwest

9900 Se Sunnyside Rd, Clackamas, OR 970159777

Phone: 8008132000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Alison Armour , PsyD

Psychologist - Clinical

NPI 1003227596

Doctor of Psychology (Psy.D.)

Jessica Sexton-Dorsett

Nurse Anesthetist, Certified Registered

NPI 1003433517
Dr. Erik Foss , MD

Radiology - Diagnostic Radiology

NPI 1003884016

Doctor of Medicine (M.D.)

Channa Hang , PA

Physician Assistant

NPI 1013074517

Physician Assistant

Ryan Cate , PA

Physician Assistant - Medical

NPI 1023211174

Physician Assistant

NPI 1023307501

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location December 02, 2021

Registered at 10180 SE SUNNYSIDE RD OFC EGS, CLACKAMAS, OR 970158970 (Tel: 5038132000)

📍
Updated Business Mailing Address December 02, 2021

Registered at 10180 SE SUNNYSIDE RD OFC, CLACKAMAS, OR 970158970 (Tel: 5038132000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2021

Surgery (License #MD61103323 in WA)

📍
Updated Practice Location May 06, 2021

Registered at 701 PARK AVE, HCMC DEPARTMENT OF GENERAL SURGERY: SEAN WEINBERG, MINNEAPOLIS, MN 554151623 (Tel: 7155570296)

📍
Updated Practice Location August 27, 2020

Registered at 9 W FRANKLIN AVE APT 306, MINNEAPOLIS, MN 554042594 (Tel: 7155570296)

📍
Updated Business Mailing Address August 27, 2020

Registered at 9 W FRANKLIN AVE APT 306, MINNEAPOLIS, MN 554042594 (Tel: 7155570296)

👤
Provider Name / Credentials Updated August 27, 2020

Recorded as SEAN PETERSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2020

Surgery (License #63579 in MN)

NPI Profile Active April 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2015

Registered at 701 PARK AVE, HCMC DEPARTMENT OF GENERAL SURGERY: SEAN WEINBERG, MINNEAPOLIS, MN 554151623 (Tel: 7155570296)

📍
Updated Business Mailing Address April 02, 2015

Registered at 701 PARK AVE, HCMC DEPARTMENT OF GENERAL SURGERY: SEAN WEINBERG, MINNEAPOLIS, MN 554151623 (Tel: 7155570296)

👤
Provider Name / Credentials Updated April 02, 2015

Recorded as SEAN WEINBERG, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 02, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619362001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2015
Last Update: December 02, 2021
Sole Proprietor: No

Mailing Address

10180 Se Sunnyside Rd Ofc

Clackamas, OR 970158970

Phone: 5038132000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.