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Active NPI 1063642957 Individual Practitioner Male Practitioner

Dr. Cornelius R Peterson , MD

Anesthesiology • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Cornelius Peterson, MD is a certified Anesthesiology practicing in Spokane, WA. With approximately 17 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 2009, Dr. Peterson delivers high-quality medical care to the local community at 101 W 8TH AVE.

Dr. Peterson is affiliated with Providence Health And Service- Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of artery tube for blood sampling or infusion through skin, ultrasonic guidance for blood vessel access, anesthesia for procedure in upper abdomen including use of an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 W 8th Ave

Spokane, WA 992042307

Telephone 5094743181
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Spokane, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs -1.6 yrs vs City Avg
City Avg: 18.6 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
137 Specialists

Practicing in Spokane, WA (1746 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (17 Years) 17 Yrs
Spokane Specialty Average (18.6 Years) 18.6 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
36620 Insertion of artery tube for blood sampling or infusion through skin
34 34 $119.00 $42.96
76937 Ultrasonic guidance for blood vessel access
26 22 $105.00 $13.87
00790 Anesthesia for procedure in upper abdomen including use of an endoscope
19 19 $862.89 $182.64
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
18 18 $364.11 $74.98
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope
16 16 $684.88 $146.71
01402 Anesthesia for procedure for total knee joint replacement
15 15 $969.27 $204.28
00811 Anesthesia for procedure on large bowel using an endoscope
12 12 $349.92 $71.86
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)
12 12 $171.00 $50.20
01638 Anesthesia for open or endoscopic total shoulder joint replacement
11 11 $994.64 $212.61

Medical Specialties & State Licenses

CMS Verified: 2022-08-01
Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License WA MD61305762

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License KS 9407283

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.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License KS 9407283

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.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License NE 27117

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.

Hospital & Practice Group Affiliations

Providence Health And Service- Washington

101 W 8th Ave, Spokane, WA 992042307

Phone: 5094743131

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003493602

Doctor of Medicine (M.D.)

Dino Karahodzic

Nurse Anesthetist, Certified Registered

NPI 1023442324
Matthew Queral , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023717790

Certified Registered Nurse Anesthetist

Amber George , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033374657

Certified Registered Nurse Anesthetist

Dr. Jessica Bauerle , MD

Anesthesiology - Pediatric Anesthesiology

NPI 1043531494

Doctor of Medicine (M.D.)

David Hepburn

Anesthesiology

NPI 1043773021

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 01, 2022

Registered at 101 W 8TH AVE, SPOKANE, WA 992042307 (Tel: 5094743181)

📍
Updated Business Mailing Address August 01, 2022

Registered at PO BOX 4069, EVERETT, WA 982040007 (Tel: 4254071000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2022

Anesthesiology (License #MD61305762 in WA)

NPI Profile Active September 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2013

Registered at 77 NEALY BLVD, LANGLEY AFB HOSPITAL, ANESTHESIOLOGY ROOM 2110, HAMPTON, VA 23693 (Tel: 7577640856)

📍
Updated Business Mailing Address September 18, 2013

Registered at 77 NEALY BLVD, LANGLEY AFB HOSPITAL, ANESTHESIOLOGY, HAMPTON, VA 23665 (Tel: 7577640856)

👤
Provider Name / Credentials Updated September 18, 2013

Recorded as CORNELIUS PETERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2013

Anesthesiology (License #27117 in NE)

🟢
Initial NPI Registration & Enumeration July 25, 2009

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: 1063642957
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2009
Last Update: August 01, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 4069

Everett, WA 982040007

Phone: 4254071000

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.