Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033559869 Individual Practitioner Male Practitioner

Dr. Dean Kyle Peterson , MD

Internal Medicine • Tualatin, OR

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Dean Peterson, MD is a registered Internal Medicine practitioner in Tualatin, OR. With approximately 11 years of clinical practice since graduating from Oregon Health Sciences University School Of Medicine in 2015, Dr. Peterson provides healthcare services at the registered practice location at 19300 SW 65TH AVE.

Dr. Peterson is affiliated with Legacy Clinics Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

19300 Sw 65th Ave

Tualatin, OR 97062

Telephone 5034138407
Fax 5034136951
Associated Practice Facility / Clinic
🏢 Legacy Meridian Park Hospital Facility NPI 1689694150

Medicare Profile & Education

Medical School

Oregon Health Sciences University School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tualatin, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -11.2 yrs vs City Avg
City Avg: 22.2 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
45 Specialists

Practicing in Tualatin, OR (2185 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (11 Years) 11 Yrs
Tualatin Specialty Average (22.2 Years) 22.2 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
285 103 $317.00 $117.95
99239 Hospital discharge day management, more than 30 minutes
81 81 $305.00 $113.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
69 69 $462.00 $170.85
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th
34 21 $85.00 $30.21
99291 Critical care, first 30-74 minutes
24 14 $732.00 $208.81

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OR MD186971

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License OR PG178578

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Oregon Medical Board
PG178578 (OR)

Hospital & Practice Group Affiliations

Legacy Clinics Llc

19300 Sw 65th Ave, Portland, OR 970627706

Phone: 5036921212

Secondary Practice Locations

1200 Nw 23rd Ave

Portland, OR 972102906

Phone: 5034138401

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Kathrin Meyers , DO

Internal Medicine

NPI 1013258383

Doctor of Osteopathic Medicine (D.O.)

Dr. Brittany Kishel , MD

Internal Medicine

NPI 1023351574

Doctor of Medicine (M.D.)

Dr. Alpana Marwaha , MD

Internal Medicine

NPI 1043400120

Doctor of Medicine (M.D.)

Dr. Roman Pettigrew , DO

Internal Medicine

NPI 1043914419

Doctor of Osteopathic Medicine (D.O.)

Dr. Paul Ash , MD, PhD

Psychiatry & Neurology - Neurology

NPI 1063417392

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Alexandra Wadford , FNP

Nurse Practitioner - Family

NPI 1083264725

Family Nurse Practitioner

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location July 05, 2018

Registered at 19300 SW 65TH AVE, TUALATIN, OR 97062 (Tel: 5034138407)

📍
Updated Business Mailing Address July 05, 2018

Registered at PO BOX 3777, PORTLAND, OR 972083777 (Tel: 5034133900)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2018

Internal Medicine (License #MD186971 in OR)

NPI Profile Active November 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2017

Registered at 1200 NW 23RD AVE, PORTLAND, OR 972102906 (Tel: 5034138401)

📍
Updated Business Mailing Address November 08, 2017

Registered at 1200 NW 23RD AVE, PORTLAND, OR 972102906 (Tel: 5034138401)

👤
Provider Name / Credentials Updated November 08, 2017

Recorded as DEAN PETERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2017

Internal Medicine (License #PG178578 in OR)

NPI Profile Active August 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2016

Registered at 1200 NW 23RD AVE, PORTLAND, OR 972102906 (Tel: 5034138401)

📍
Updated Business Mailing Address August 11, 2016

Registered at 1200 NW 23RD AVE, PORTLAND, OR 972102906 (Tel: 5034138401)

👤
Provider Name / Credentials Updated August 11, 2016

Recorded as DEAN PETERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 25, 2013

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: 1033559869
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2013
Last Update: July 05, 2018
Sole Proprietor: No

Mailing Address

Po Box 3777

Portland, OR 972083777

Phone: 5034133900

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.