Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871147876 Individual Practitioner Male Practitioner

Blair Peters

Plastic Surgery • Portland, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Blair Peters is a certified Plastic Surgery practicing in Portland, OR. With approximately 12 years of clinical experience since completing medical education in 2014, Blair Peters delivers high-quality medical care to the local community at 3181 SW SAM JACKSON PARK RD # L352A.

Blair Peters is affiliated with University Professional Services and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3181 Sw Sam Jackson Park Rd # L352a

Portland, OR 972393011

Telephone 5034947824

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Portland, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -10.7 yrs vs City Avg
City Avg: 22.7 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
38 Specialists

Practicing in Portland, OR (66 Statewide)

Telehealth Adoption Rate
18.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peters (12 Years) 12 Yrs
Portland Specialty Average (22.7 Years) 22.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-04-28
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MO 2019011349

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License OR 197514

A surgeon who specializes in plastic and reconstructive surgery.

Hospital & Practice Group Affiliations

University Professional Services

3303 S Bond Ave, Portland, OR 972394501

Phone: 5034948311

Practice Associates & Co-Workers

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

2 Associated Practitioners
Alix Wherley , PA-C

Physician Assistant - Surgical

NPI 1558798975

Physician Assistant (Certified)

Dr. Anna Kuang , MD

Plastic Surgery

NPI 1770591216

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 28, 2021

Registered at 3181 SW SAM JACKSON PARK RD # L352A, PORTLAND, OR 972393011 (Tel: 5034947824)

📍
Updated Business Mailing Address April 28, 2021

Registered at 3181 SW SAM JACKSON PARK RD # L352A, PORTLAND, OR 972393011 (Tel: 5034947824)

NPI Profile Active July 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2019

Registered at 4921 PARKVIEW PL STE 6G, SAINT LOUIS, MO 631101032 (Tel: 3143627388)

📍
Updated Business Mailing Address July 29, 2019

Registered at 660 S EUCLID AVE, CAMPUS BOX 8238, SAINT LOUIS, MO 63110 (Tel: 3143627388)

👤
Provider Name / Credentials Updated July 29, 2019

Recorded as BLAIR PETERS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2019

Plastic Surgery (License #2019011349 in MO)

🟢
Initial NPI Registration & Enumeration July 29, 2019

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: 1871147876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2019
Last Update: April 28, 2021
Sole Proprietor: No

Mailing Address

3181 Sw Sam Jackson Park Rd # L352a

Portland, OR 972393011

Phone: 5034947824

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.