Active NPI 1770511008 Individual Practitioner Male Practitioner

Ralph G Peterson , PA

Physician Assistant - Surgical • Eugene, OR

Professional Overview & Biography Verified Profile Summary

Ralph Peterson, PA is a registered healthcare professional specializing in Physician Assistant - Surgical in Eugene, OR. Practice services are available at 1410 OAK ST under active NPI credentials.

Frequently performed procedures and clinical services include partial removal of spine bone with release of spinal cord and/or nerves, partial removal of middle spine bone with release of spinal cord and/or nerves, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1410 Oak St
Suite 200

Eugene, OR 974014604

Telephone 5414852357

Fax 5414852358

Associated Practice Facility / Clinic

🏢 Keiperspine, Pc Facility NPI 1912115478

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Eugene, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.6 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

11 Specialists

Practicing in Eugene, OR (368 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	38	25	$556.00	$26.36
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	32	32	$2880.00	$140.35
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$188.00	$74.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	50	$188.00	$74.99
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	51	51	$2880.00	$153.45
63048 Partial removal of spine bone with release of spinal cord and/or nerves	51	34	$556.00	$29.55
72020 X-ray of spine, 1 view	27	21	$59.00	$20.23
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	22	13	$680.00	$32.78
72100 X-ray of lower and sacral spine, 2-3 views	20	15	$105.00	$32.68
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	11	11	$4474.00	$217.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	50	$184.23	$61.79
63048 Partial removal of spine bone with release of spinal cord and/or nerves	56	36	$562.43	$27.93
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	55	55	$2862.55	$135.28
72100 X-ray of lower and sacral spine, 2-3 views	43	31	$104.44	$30.96
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	31	21	$770.97	$34.24
72020 X-ray of spine, 1 view	26	19	$60.38	$19.96
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	13	13	$2545.54	$123.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	90	68	$165.00	$61.02
63048 Partial removal of spine bone with release of spinal cord and/or nerves	60	34	$580.00	$28.42
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	55	55	$2800.00	$136.75
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	44	30	$1150.00	$34.78
72100 X-ray of lower and sacral spine, 2-3 views	26	20	$105.00	$30.18
72020 X-ray of spine, 1 view	19	16	$65.00	$19.00
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	17	17	$4860.00	$228.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	51	$165.00	$57.28
63048 Partial removal of spine bone with release of spinal cord and/or nerves	61	38	$580.00	$26.87
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	47	47	$2789.36	$130.59
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	31	25	$1150.00	$32.80
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	14	14	$2614.29	$121.70
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	13	13	$4600.00	$123.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	66	$165.00	$58.77
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	45	44	$2700.00	$132.27
63048 Partial removal of spine bone with release of spinal cord and/or nerves	34	23	$580.00	$27.62
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	32	23	$1150.00	$34.02
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	13	13	$4860.00	$222.46
22845 Placement of stabilizing device to front, 2-3 spine bone segments	11	11	$2000.00	$95.44

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License OR PA00258

Definition to come...

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Glenn Keiper , MD

Neurological Surgery

NPI 1093732653

Doctor of Medicine (M.D.)

Dr. Jonathan Sherman , MD

Neurological Surgery

NPI 1902800733

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 12, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 12, 2013

Registered at 1410 OAK ST, SUITE 200, EUGENE, OR 974014604 (Tel: 5414852357)

📍

Updated Business Mailing Address March 12, 2013

Registered at 1410 OAK ST, SUITE 200, EUGENE, OR 974014604 (Tel: 5414852357)

👤

Provider Name / Credentials Updated March 12, 2013

Recorded as RALPH PETERSON, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2013

Physician Assistant (License #PA00258 in OR)

🟢

Initial NPI Registration & Enumeration June 28, 2006

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: 1770511008

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 28, 2006

Last Update: March 12, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1410 Oak St, Suite 200

Eugene, OR 974014604

Phone: 5414852357

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.