Sharon Rose Peterson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD153463 Issued in OR

Practice address

11200 SW Murray Scholls PL Ste 100
Beaverton, OR 97007-9816

Phone

(503) 813-2000

NPI assigned

Jul 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sarah Laiosa, PCGroup PAC ID 5496141004, shared by 2 NPIs, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harney District Hospital Hospital, Burns, OR, CCN 381307
• Blue Mountain Hospital Hospital, John Day, OR, CCN 381305

Merit-based Incentive Payment System (MIPS)

Final score

88.71 of 100Reported as group

Quality

71.18

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sharon.peterson.1@20652.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20652/brand/1/csg/1/fhir/r4

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.

• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1184786527

  Family Medicine, WA

  Medicare reassignment NPD
• Sarah Laiosa, PC

  • Family Medicine Physician
  • Burns, OR
  • NPI 1902559529
  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Northwest

  • Clinic/Center
  • Hillsboro, OR
  • NPI 1942718622
  NPD
• Sarah Laiosa, PC

  • Rural Health Clinic/Center
  • Burns, OR
  • NPI 1164143277
  NPD
• High Desert Medical Center

  • Family Medicine Physician
  • Burns, OR
  • NPI 1447276837
  NPD (past)

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

• Blue Mountain Hospital District

  • Critical Access Hospital
  • John Day, OR
  • NPI 1356414395
  Care Compare affiliation
• Harney District Hospital

  • Critical Access Hospital
  • Burns, OR
  • NPI 1285742338
  Care Compare affiliation
• Harney District Hospital

  • Multi-Specialty Clinic/Center
  • Burns, OR
  • NPI 1972113306

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1336304138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SW MURRAY SCHOLLS PL STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079816",
            "telephone_number": "503-813-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SW MURRAY SCHOLLS PL STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079816",
            "telephone_number": "503-813-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "559 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Burns",
            "state": "OR",
            "postal_code": "977201441",
            "country_code": "US",
            "telephone_number": "541-573-2074",
            "fax_number": "541-573-8893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SHARON",
        "middle_name": "ROSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD153463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Northwest Permanente PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4855 SW Western Ave",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970053460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristina Petersen, RDH
• Desmond Kirk Peterson, N.D.
• Glenda A Peterson, PMHN
• Jennie Michelle Peterson, PMHNP-BC
• Leslie Lucinda Peterson, RDH, OMT
• Caitlyn Petrini
• Kimberly Ann Petros
• Martin Petrovic, DC
• Timothy Floyd Pfankuch, N.D.
• PFC Billing

• Family Medicine Physician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.