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Dr. Sean Luke Peterson , MD

Surgery โ€ข Clackamas, OR

Active NPI 1619362001 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

10180 Se Sunnyside Rd Ofc Egs
Clackamas, OR 970158970

Call 5038132000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10180 Se Sunnyside Rd Ofc Egs

Clackamas, OR 970158970

Telephone 5038132000
Organization at the Same NPPES Address or Phone
Kaiser Foundation Health Plan Of The Northwest Facility NPI 1104378140

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Kaiser Foundation Health Plan Of The Northwest. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2015

Medicare-allowed amount

About $1,569 in 2021

The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2021.

Paid by Medicare

About $1,255 in 2021

The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2021.

30-day fills

94 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$576 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Peterson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Peterson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Clackamas and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Surgery in Oregon (2024, 281 clinicians with data). Median for this group: 61. Middle half: 35 to 125.

Too few clinicians listed under Surgery in Clackamas have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Surgery in Oregon (2024, 281 clinicians with data). Median for this group: $536. Middle half: $145 to $3,038.

Too few clinicians listed under Surgery in Clackamas have Medicare Part D data for 2024 to compare.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Peterson are from 2021.

17 active clinicians are listed under Surgery with a practice address in Clackamas, OR (525 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clackamas

5.9% of these 17 clinicians have the CMS telehealth indicator.

47.1% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2021.

CMS Part B ยท Data Year 2021

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
16 15 $174.00 $66.03
46600 Diagnostic exam of anus using an endoscope
13 13 $117.00 $39.39

Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ondansetron Odt Ondansetron 34 92 $224.83 32
Oxycodone Hcl Oxycodone Hcl 33 65 $215.61 33
Metoprolol Tartrate Metoprolol Tartrate 11 786 $135.89 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-12-02
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES OR MD201352

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

License # reported to NPPES WA MD61103323

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

License # reported to NPPES MN 63579

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

License # reported to NPPES IA MD47700

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

License # reported to NPPES WI 73695-20

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.

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20211118002036

Enrollment State Jurisdiction

WA

PECOS Control ID

6305142928

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Kaiser Foundation Health Plan Of The Northwest

9900 Se Sunnyside Rd, Clackamas, OR 970159777

Phone: 8008132000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
Amanda Andersen

Internal Medicine

NPI 1033504410
Dr. Shauyaun Azimi , DO

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1144755471

Doctor of Osteopathic Medicine (D.O.)

David Benjamin

Emergency Medicine

NPI 1134533839
Kyle Bowling

Nurse Anesthetist, Certified Registered

NPI 1063997898
Dr. Jennifer Brady , MD

Internal Medicine

NPI 1124288063

Doctor of Medicine (M.D.)

Ryan Cate , PA

Physician Assistant - Medical

NPI 1023211174

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
๐Ÿ“
Updated Practice Location December 02, 2021

Registered at 10180 SE SUNNYSIDE RD OFC EGS, CLACKAMAS, OR 970158970 (Tel: 5038132000)

๐Ÿ“
Updated Business Mailing Address December 02, 2021

Registered at 10180 SE SUNNYSIDE RD OFC, CLACKAMAS, OR 970158970 (Tel: 5038132000)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2021

Surgery (license number reported to NPPES: WA MD61103323)

๐Ÿ“
Updated Practice Location May 06, 2021

Registered at 701 PARK AVE, HCMC DEPARTMENT OF GENERAL SURGERY: SEAN WEINBERG, MINNEAPOLIS, MN 554151623 (Tel: 7155570296)

๐Ÿ“
Updated Practice Location August 27, 2020

Registered at 9 W FRANKLIN AVE APT 306, MINNEAPOLIS, MN 554042594 (Tel: 7155570296)

๐Ÿ“
Updated Business Mailing Address August 27, 2020

Registered at 9 W FRANKLIN AVE APT 306, MINNEAPOLIS, MN 554042594 (Tel: 7155570296)

๐Ÿ‘ค
Provider Name / Credentials Updated August 27, 2020

Recorded as SEAN PETERSON, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2020

Surgery (license number reported to NPPES: MN 63579)

โœ…
NPI Profile Active April 02, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 02, 2015

Registered at 701 PARK AVE, HCMC DEPARTMENT OF GENERAL SURGERY: SEAN WEINBERG, MINNEAPOLIS, MN 554151623 (Tel: 7155570296)

๐Ÿ“
Business Mailing Address (Initial Record) April 02, 2015

Registered at 701 PARK AVE, HCMC DEPARTMENT OF GENERAL SURGERY: SEAN WEINBERG, MINNEAPOLIS, MN 554151623 (Tel: 7155570296)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 02, 2015

Recorded as SEAN WEINBERG, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2015

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration April 02, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619362001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2015
Last Update: December 02, 2021
Sole Proprietor: No

Other Surgery Specialists in Clackamas

Healthcare providers in Clackamas

Mailing Address

10180 Se Sunnyside Rd Ofc

Clackamas, OR 970158970

Phone: 5038132000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.