Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124307046 Individual Practitioner Female Practitioner

Dr. Carly Elizabeth Peterson , MD, FRCPC

Anesthesiology • Seattle, WA

✓ 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. Carly Peterson, MD, FRCPC is a registered Anesthesiology practitioner in Seattle, WA. With approximately 21 years of clinical practice since completing medical education in 2005, Dr. Peterson provides healthcare services at the registered practice location at 1100 9TH AVE.

Dr. Peterson is affiliated with Providence Wa Anesthesia Services, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for x-ray on artery of brain, heart, or chest, insertion of artery tube for blood sampling or infusion through skin, anesthesia for procedure on heart and large blood vessels. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 9th Ave

Seattle, WA 981012756

Telephone 2062236980
Fax 2062236982
Associated Practice Facility / Clinic
🏢 Virginia Mason Medical Center Facility NPI 1376607234

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Seattle, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +2.6 yrs vs City Avg
City Avg: 18.4 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
702 Specialists

Practicing in Seattle, WA (1746 Statewide)

Telehealth Adoption Rate
1.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (21 Years) 21 Yrs
Seattle Specialty Average (18.4 Years) 18.4 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
01926 Anesthesia for x-ray on artery of brain, heart, or chest
36 36 $2843.06 $244.52
36620 Insertion of artery tube for blood sampling or infusion through skin
23 23 $195.00 $42.70
00560 Anesthesia for procedure on heart and large blood vessels
19 19 $5132.63 $446.95
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function
12 12 $105.00 $3.00
93320 Ultrasound of heart blood flow, valves and chambers
12 12 $228.00 $17.31
93312 Ultrasound of heart with probe in esophagus, with report
12 12 $467.00 $103.31

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License WA MD60556882

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1124307046 (WA)

Hospital & Practice Group Affiliations

Providence Wa Anesthesia Services, Pc

1321 Colby Ave, Everett, WA 982011665

Phone: 9144919495

Secondary Practice Locations

1959 Ne Pacific St

Seattle, WA 981950001

Phone: 2065984260

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Vinay Gupta , MD

Internal Medicine - Critical Care Medicine

NPI 1003105917

Doctor of Medicine (M.D.)

Dr. Tien Thach , MD

Anesthesiology

NPI 1013099530

Doctor of Medicine (M.D.)

NPI 1023250693

MEDICALSTUDENT

NPI 1033550819

Doctor of Medicine (M.D.)

NPI 1033796651

Doctor of Medicine (M.D.)

Terumi Kadin , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093765778

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 11, 2018

Registered at 1100 9TH AVE, SEATTLE, WA 981012756 (Tel: 2062236980)

📍
Updated Business Mailing Address October 11, 2018

Registered at 1100 9TH AVE, SEATTLE, WA 981012756 (Tel: 2062236980)

NPI Profile Active July 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2015

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981950001 (Tel: 2065984260)

📍
Updated Business Mailing Address July 09, 2015

Registered at PO BOX 50095, SEATTLE, WA 981455095 (Tel: 2065436420)

👤
Provider Name / Credentials Updated July 09, 2015

Recorded as CARLY PETERSON, MD, FRCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2015

Anesthesiology (License #MD60556882 in WA)

🟢
Initial NPI Registration & Enumeration August 09, 2011

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: 1124307046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2011
Last Update: October 11, 2018
Sole Proprietor: No

Mailing Address

1100 9th Ave

Seattle, WA 981012756

Phone: 2062236980

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.