Individual provider Active NPI

Peter A Herreid, MD

  • Dermatopathology (Pathology) Physician
  • Spokane Valley, WA
National Provider Identifier
1376519249
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
MD00032449 Issued in WA
Practice address
13103 E Mansfield Ave
Spokane Valley, WA 99216-1642
Phone
(509) 892-2700
Fax
(509) 892-2740
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X G68841 CA
Anatomic Pathology Physician 207ZP0101X M-11701 ID
Dermatopathology (Pathology) Physician 207ZD0900X M-11701 ID
Anatomic Pathology Physician 207ZP0101X 7969 AK
Dermatopathology (Pathology) Physician 207ZD0900X 7969 AK
Dermatopathology (Pathology) Physician 207ZD0900X MEDPHYSLIC26143 MT
Anatomic Pathology Physician 207ZP0101X MEDPHYSLIC26143 MT
Anatomic Pathology Physician 207ZP0101X G68841 CA
Dermatopathology (Pathology) Physician 207ZD0900X MD00032449 WA Primary

Addresses

Primary practice location

13103 E Mansfield Ave
Spokane Valley, WA 99216-1642

Mailing address

PO Box 3405
Spokane, WA 99220-3405
Phone (509) 892-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 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

Enrollment IDStateProvider typePAC IDDetails
I20070508000495 WA Practitioner - Pathology 9537179676 Reassigns benefits to 2 organizations
I20180430001777 ID Practitioner - Pathology 9537179676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Nevada School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Incyte Pathology PLLCGroup PAC ID 9638067945, 43 clinicians

Practice addresses (Care Compare)

13103 E Mansfield Ave
Spokane Valley, WA 99216-1642
Phone (509) 892-2700

Hospital & facility affiliations

  • Valley Medical Center Hospital, Renton, WA, CCN 500088
  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
  • Grande Ronde Hospital Hospital, La Grande, OR, CCN 381321
  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072
  • Kittitas Valley Community Hospital Hospital, Ellensburg, WA, CCN 501333

Merit-based Incentive Payment System (MIPS)

Final score
73.29 of 100Reported as group
Quality
68.58
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-11701IDMDDermatopathology (Pathology) Physician
7969AKMDAnatomic Pathology Physician
G68841CAMDAnatomic Pathology Physician
MEDPHYSLIC26143MTMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 4 King County Washington CurrentSince Nov 1, 2019 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Nov 1, 2019 Accepting new patients
Incyte Pathology, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2013 Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
Eastside Pathology Inc PS Dermatopathology Past Accepting new patients
Eastside Pathology Inc PS Dermatopathology Past Accepting new patients

Locations

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

1280 116th Ave NE
Ste 210
Bellevue, WA 98004
Phone (425) 646-0922

1280 116th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 646-0922

221 Wellsian Way
Richland, WA 99352
Phone (503) 341-9352

9801 Frontier Ave SE
Snoqualmie, WA 98065
Phone (425) 831-2300

13103 E Mansfield Ave
Spokane Valley, WA 99216

15912 E Marietta Ave
Spokane Valley, WA 99216

2811 S 102nd St
Ste 170
Tukwila, WA 98168
Phone (425) 646-0922

55 W Tietan St
Walla Walla, WA 99362
Phone (509) 525-3720

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1376519249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3405",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203405",
            "telephone_number": "509-892-2700",
            "fax_number": "509-342-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13103 E MANSFIELD AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161642",
            "telephone_number": "509-892-2700",
            "fax_number": "509-892-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERREID",
        "first_name": "PETER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "G68841",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "ID",
            "license": "M-11701",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "ID",
            "license": "M-11701",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "AK",
            "license": "7969",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "AK",
            "license": "7969",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "MT",
            "license": "MEDPHYSLIC26143",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MT",
            "license": "MEDPHYSLIC26143",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "G68841",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "WA",
            "license": "MD00032449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.