Peter William Anderson, DC, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

197354 Issued in OR

Practice address

3025 Ryan Dr SE
Salem, OR 97301-5057

Phone

(503) 540-9999

Fax

(503) 540-3105

NPI assigned

Aug 25, 2006

Last updated

Feb 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oregon Oncology Specialists LLPGroup PAC ID 3971576240, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salem Hospital Hospital, Salem, OR, CCN 380051
• Salem Health West Valley Hospital, Dallas, OR, CCN 381308
• Willamette Valley Medical Center Hospital, McMinnville, OR, CCN 380071

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7721/brand/1/csg/1/fhir/r4
• Direct secure messaging: panderson337699@direct.salemhealth.org
• Direct secure messaging: peter.anderson@hoos.ikm.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oregon Oncology Specialists, LLP

  dba Oregon Infectious Disease Specialists

  • Hematology & Oncology Physician
  • Salem, OR
  • NPI 1013953025
  Medicare reassignment Care Compare group NPD
• McMinnville Chiropractic Clinic

  • Medical Specialty Clinic/Center
  • McMinnville, OR
  • NPI 1306116694
  NPD (past) Authorized official
• Oregon Oncology Specialists, LLP

  • Clinic Pharmacy
  • Salem, OR
  • NPI 1134592041
  NPD
• McMinnville Chiropractic Clinic LLC

  • Chiropractor
  • McMinnville, OR
  • NPI 1396244661
  NPD (past)
• Sunrise Family Clinic, LLC

  • Primary Care Clinic/Center
  • McMinnville, OR
  • NPI 1538594999
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Care Compare affiliation
• Salem Health West Valley

  • Critical Access Hospital
  • Dallas, OR
  • NPI 1245237486
  Care Compare affiliation
• Willamette Valley Medical Center LLC

  dba Willamette Valley Medical Center

  • General Acute Care Hospital
  • McMinnville, OR
  • NPI 1346269982
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1144337916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 NE EVANS ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971283925",
            "telephone_number": "503-434-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 RYAN DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015057",
            "telephone_number": "503-540-9999",
            "fax_number": "503-540-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "PETER",
        "middle_name": "WILLIAM",
        "credential": "DC, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "197354",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Alton Anderson, DDS
• Kellie Anderson, CDA, EFDA
• Kelsey Jane Anderson
• Mikaela Jade Anderson, PHARMD, RPH, MBA
• Neva Anderson
• Rebecca Anderson
• Robert Anderson
• Samantha Anderson
• Tatiana O Anderson, PHARM.D.
• Timothy Wayne Anderson, CRM, THW

• Medical Physician Assistant in Salem, OR
• Providers in Salem, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.

Verify at the official NPI Registry.