Active NPI 1144885575 Individual Practitioner Male Practitioner

Michael Peterson , PA-C

Physician Assistant • Roseburg, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Peterson, PA-C is a certified Physician Assistant practicing in Roseburg, OR. With approximately 6 years of clinical experience since completing medical education in 2020, Michael Peterson delivers high-quality medical care to the local community at 2801 NW MERCY DR STE 300.

Michael Peterson is affiliated with Centennial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2801 Nw Mercy Dr Ste 300

Roseburg, OR 974712348

Telephone 5416771555

Fax 5416772294

Associated Practice Facility / Clinic

🏢 Ortho Spine Llc Facility NPI 1720278922

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Roseburg, OR

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

6 Yrs -2.8 yrs vs City Avg

City Avg: 8.8 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

34 Specialists

Practicing in Roseburg, OR (2106 Statewide)

Telehealth Adoption Rate

2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (6 Years) 6 Yrs

Roseburg Specialty Average (8.8 Years) 8.8 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
99213 Established patient office or other outpatient visit, typically 15 minutes	116	106	$232.00	$74.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	92	$337.00	$105.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$509.00	$135.72
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	38	24	$5943.00	$1319.62
93000 Routine ekg using at least 12 leads including interpretation and report	32	30	$53.00	$11.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	29	$452.00	$147.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$333.00	$91.35
36471 Injection of chemical agent into multiple incompetent veins of leg	21	17	$673.57	$106.11
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	15	$47.00	$11.99
36470 Injection of chemical agent into single incompetent vein	13	11	$341.00	$48.70
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$644.00	$167.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	116	$338.15	$105.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$509.00	$136.81
93000 Routine ekg using at least 12 leads including interpretation and report	75	60	$53.00	$11.94
99213 Established patient office or other outpatient visit, typically 15 minutes	72	61	$232.00	$74.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	46	$452.00	$148.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$333.00	$92.57
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	39	27	$5943.00	$1401.01
36471 Injection of chemical agent into multiple incompetent veins of leg	34	26	$615.00	$89.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$644.00	$181.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	95	$337.00	$104.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$509.00	$135.20
93000 Routine ekg using at least 12 leads including interpretation and report	50	46	$53.00	$11.59
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	44	32	$5943.00	$1426.65
99213 Established patient office or other outpatient visit, typically 15 minutes	36	36	$232.00	$74.04
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	33	28	$47.00	$12.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	25	$452.00	$147.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$333.00	$91.11
36471 Injection of chemical agent into multiple incompetent veins of leg	24	19	$640.63	$105.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	14	$224.00	$57.82
36470 Injection of chemical agent into single incompetent vein	14	12	$341.00	$47.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	101	$337.00	$106.91
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	96	60	$5943.00	$1559.32
99213 Established patient office or other outpatient visit, typically 15 minutes	86	69	$232.00	$75.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$509.00	$138.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	49	$452.00	$149.29
93000 Routine ekg using at least 12 leads including interpretation and report	46	43	$53.00	$12.07
36471 Injection of chemical agent into multiple incompetent veins of leg	37	30	$664.86	$99.12
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	26	21	$47.00	$12.78
36483 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	25	21	$490.00	$118.01
36470 Injection of chemical agent into single incompetent vein	24	21	$369.42	$50.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$333.00	$92.25
36589 Removal of central venous catheter for infusion	14	14	$524.00	$138.30
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$644.00	$182.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	95	81	$181.98	$62.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	35	$274.05	$90.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$409.24	$137.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$265.63	$89.63

Medical Specialties & State Licenses

CMS Verified: 2020-10-01

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA197860

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.

Hospital & Practice Group Affiliations

Centennial Medical Group Inc

2700 Nw Stewart Pkwy, Roseburg, OR 974711281

Phone: 5416772452

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Frederic Van Dis , MD

Internal Medicine - Cardiovascular Disease

NPI 1093786261

Doctor of Medicine (M.D.)

Robert Richardson , NP

Nurse Practitioner

NPI 1134845407

Nurse Practitioner

Dr. Howard Feldman , MD

Internal Medicine - Interventional Cardiology

NPI 1548287022

Doctor of Medicine (M.D.)

Dr. George Middlekauff , MD

Psychiatry & Neurology - Psychiatry

NPI 1598797664

Doctor of Medicine (M.D.)

Dr. Aric Groshong , MD

Pediatrics

NPI 1619078110

Doctor of Medicine (M.D.)

Dr. Douglas Anderson , MD

Internal Medicine - Cardiovascular Disease

NPI 1841294774

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location October 01, 2020

Registered at 2801 NW MERCY DR STE 300, ROSEBURG, OR 974712348 (Tel: 5416771555)

📍

Updated Business Mailing Address October 01, 2020

Registered at 201 NW MEDICAL LOOP STE 190, ROSEBURG, OR 974718835 (Tel: 5416774319)

👤

Provider Name / Credentials Updated October 01, 2020

Recorded as MICHAEL PETERSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2020

Physician Assistant (License #PA197860 in OR)

✅

NPI Profile Active May 01, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location May 01, 2019

Registered at 2730 SW MOODY AVE, PORTLAND, OR 972015042 (Tel: 5034949645)

📍

Updated Business Mailing Address May 01, 2019

Registered at 2730 SW MOODY AVE, PORTLAND, OR 972015042

👤

Provider Name / Credentials Updated May 01, 2019

Recorded as MICHAEL PETERSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2019

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration May 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1144885575

Entity Type:

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

Enumeration Date: May 01, 2019

Last Update: October 01, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

201 Nw Medical Loop Ste 190

Roseburg, OR 974718835

Phone: 5416774319

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.