Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720332968 Individual Practitioner Male Practitioner

Dr. Samuel Nolan Peterson , AuD

Audiologist • Grants Pass, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Peterson, AuD is a certified Audiologist practicing in Grants Pass, OR. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Peterson delivers high-quality medical care to the local community at 1867 WILLIAMS HWY.

Dr. Peterson is affiliated with St Lukes Clinic-Treasure Valley Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include comprehensive hearing and speech recognition test, eardrum testing using ear probe, test for eardrum and muscle function. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1867 Williams Hwy
Ste. 105

Grants Pass, OR 975275854

Telephone 5414744694
Fax 5414749590
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Grants Pass, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -2.0 yrs vs City Avg
City Avg: 16.0 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Grants Pass, OR (329 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (14 Years) 14 Yrs
Grants Pass Specialty Average (16.0 Years) 16.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92557 Comprehensive hearing and speech recognition test
131 131 $67.00 $29.65
92567 Eardrum testing using ear probe
31 31 $23.00 $10.03

Medical Specialties & State Licenses

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License OR 23642

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Hospital & Practice Group Affiliations

St Lukes Clinic-Treasure Valley Llc

608 W Hays St, Boise, ID 837025511

Phone: 2083815970

St Lukes Clinic-Treasure Valley Llc

610 W Hays St, Boise, ID 837025511

Phone: 2083815970

St Lukes Clinic-Treasure Valley Llc

1210 Nw 16th St, Fruitland, ID 836192202

Phone: 2084528600

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1063454114

MASTEROFSCIENCEMS

NPI 1396876314

Doctor of Audiology

NPI 1659763639

Doctor of Audiology

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 08, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2012

Registered at 1867 WILLIAMS HWY, STE. 105, GRANTS PASS, OR 975275854 (Tel: 5414744694)

📍
Updated Business Mailing Address November 08, 2012

Registered at 1867 WILLIAMS HWY, STE. 105, GRANTS PASS, OR 975275854 (Tel: 5414744694)

👤
Provider Name / Credentials Updated November 08, 2012

Recorded as SAMUEL PETERSON, AU.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2012

Audiologist (License #23642 in OR)

🟢
Initial NPI Registration & Enumeration November 08, 2012

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: 1720332968
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2012
Last Update: November 08, 2012
Sole Proprietor: No

Mailing Address

1867 Williams Hwy, Ste. 105

Grants Pass, OR 975275854

Phone: 5414744694

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.