Active NPI
Geraldine Anne Peterdy, MD
- Anatomic Pathology Physician
- Liberty Lake, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- MD00041937
- Practice address
- 112 S Greenridge Dr
Liberty Lake, WA 99019-9566 - Phone
- (509) 255-1000
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | MD00041937 | WA | |
| Anatomic Pathology Physician | 207ZP0101X | MD00041937 | WA | Primary |
Addresses
Primary practice location
112 S Greenridge Dr
Liberty Lake, WA 99019-9566
Mailing address
PO Box 727
Allied Pathology, PC
Liberty Lake, WA 99019-0727
Phone (509) 255-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8331084 | Medicaid | WA | |
| AB 35581 | Other | WA | MEDICARE WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Washington University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Health and Services Oregon
Practice addresses (Care Compare)
1001 N Providence Dr
Newberg, OR 97132-7485
Phone (503) 537-1555
10150 SE 32ND Ave
Milwaukie, OR 97222-6516
Phone (503) 513-8300
1500 Division St
Oregon City, OR 97045-1527
Phone (503) 656-1631
200 S Hazel Dell Way
Suite 210
Canby, OR 97013-7828
Phone (503) 263-9550
4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111
725 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7000
727 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7000
810 12TH St
Hood River, OR 97031-1587
Phone (541) 387-6445
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-2213
Hospital & facility affiliations
- Providence Portland Medical Center
- Providence St Vincent Medical Center
- Providence Newberg Medical Center
- Providence Milwaukie Hospital
- Providence Hood River Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.44 of 100
- Quality
- 87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 96.73
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.69 of 100
- Quality
- 84.88
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.53 of 100
- Quality
- 96.2
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.49
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.39 of 100
- Quality
- 83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 89.32
Merit-based Incentive Payment System (MIPS)
- Final score
- 95 of 100
- Quality
- 83.34
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.65 of 100
- Quality
- 98.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00041937 | WA | MD | Anatomic Pathology Physician |
Practice roles
Locations
200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550
810 12th St
Hood River, OR 97031
Phone (541) 386-3911
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538
10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
Interoperability endpoints
- geraldine.peterdy.1@12514.direct.athenahealth.com
Organizations & group practices 19
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
-
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
-
- Clinic/Center
- Medford, OR
- NPI 1093976243
-
- Clinical Pathology Physician
- Hood River, OR
- NPI 1053862714
-
- Critical Access Hospital
- Hood River, OR
- NPI 1255429338
-
- Clinical Pathology Physician
- Oregon City, OR
- NPI 1003368911
-
- Clinical Pathology Physician
- Newberg, OR
- NPI 1174074868
-
- Clinical Pathology Physician
- Medford, OR
- NPI 1285185942
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
-
- Critical Access Hospital
- Hood River, OR
- NPI 1255429338
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416182400000",
"number": "1104864792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 727",
"address_2": "ALLIED PATHOLOGY, PC",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190727",
"telephone_number": "509-255-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S GREENRIDGE DR",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990199566",
"telephone_number": "509-255-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERDY",
"first_name": "GERALDINE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2014-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "WA",
"license": "MD00041937",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "WA",
"license": "MD00041937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8331084",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE WA",
"identifier": "AB 35581",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Liberty Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.