Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548304108 Individual Practitioner Male Practitioner

Dr. Donny J Peterson , MD

Surgery • Vancouver, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Donny Peterson, MD is a certified Surgery practicing in Vancouver, WA. With approximately 24 years of clinical experience since graduating from University Of Minnesota Medical School in 2002, Dr. Peterson delivers high-quality medical care to the local community at 2525 NE 139TH ST.

Dr. Peterson is affiliated with The Vancouver Clinic Inc Ps and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2525 Ne 139th St

Vancouver, WA 986862719

Telephone 3608822778
Fax 3606041755
Associated Practice Facility / Clinic
🏢 Vancouver Clinic Inc Facility NPI 1124063367

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Vancouver, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs -3.9 yrs vs City Avg
City Avg: 27.9 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
35 Specialists

Practicing in Vancouver, WA (818 Statewide)

Telehealth Adoption Rate
5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (24 Years) 24 Yrs
Vancouver Specialty Average (27.9 Years) 27.9 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
30 29 $424.00 $127.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
21 21 $366.00 $107.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
17 15 $185.00 $55.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
15 11 $257.00 $76.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 14 $417.00 $127.85
99213 Established patient office or other outpatient visit, typically 15 minutes
15 14 $295.00 $90.81

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD00048214

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License OK 26159

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8481145 (WA)

Hospital & Practice Group Affiliations

The Vancouver Clinic Inc Ps

2525 Ne 139th St, Vancouver, WA 986862719

Phone: 3608822778

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jonathan Riggs , PA

Physician Assistant

NPI 1003149147

Physician Assistant

Dr. Jose Rivera , MD

Internal Medicine - Infectious Disease

NPI 1003349176

Doctor of Medicine (M.D.)

Kanuboddu Reddy

Internal Medicine

NPI 1003349820
Dr. Aaron Kaplan , MD

Radiology - Diagnostic Radiology

NPI 1003853755

Doctor of Medicine (M.D.)

Dr. Jeff Brent , MD

Emergency Medicine - Sports Medicine

NPI 1013124734

Doctor of Medicine (M.D.)

NPI 1013237379

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 05, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2013

Registered at 2525 NE 139TH ST, VANCOUVER, WA 986862719 (Tel: 3608822778)

📍
Updated Business Mailing Address July 05, 2013

Registered at 700 NE 87TH AVE, VANCOUVER, WA 986641913 (Tel: 3608822778)

👤
Provider Name / Credentials Updated July 05, 2013

Recorded as DONNY PETERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2013

Surgery (License #MD00048214 in WA)

🟢
Initial NPI Registration & Enumeration February 16, 2007

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: 1548304108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2007
Last Update: July 05, 2013
Sole Proprietor: No

Mailing Address

700 Ne 87th Ave

Vancouver, WA 986641913

Phone: 3608822778

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.