Garrett Parker Peresko

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO61185768 Issued in WA

Practice address

531 Adams Ave
Morton, WA 98356-9323

Phone

(360) 496-5145

NPI assigned

May 9, 2018

Last updated

Sep 24, 2021By 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 WA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lewis County Hospital District No 1Group PAC ID 6002727385, shared by 7 NPIs, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arbor Health Morton Hospital Hospital, Morton, WA, CCN 501319
• Arbor Health Morton Hospital Nursing home, CCN 50Z319

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lewis County Hospital District No 1

  dba Arbor Health Morton Hospital

  • Critical Access Hospital
  • Morton, WA
  • NPI 1154361814
  Medicare reassignment NPD
• Lewis County Hospital District No. 1

  dba Arbor Health Morton Hospital

  • Emergency Medicine Physician
  • Morton, WA
  • NPI 1205882909
  Medicare reassignment NPD
• Lewis County Hospital District No. 1

  • Rural Health Clinic/Center
  • Packwood, WA
  • NPI 1497466494
  NPD
• Lewis County Hospital District No. 1

  dba Arbor Health Morton Clinic

  • Rural Health Clinic/Center
  • Morton, WA
  • NPI 1952415432
  NPD (past)

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

• Lewis County Hospital District No 1

  dba Arbor Health Morton Hospital

  • Critical Access Hospital
  • Morton, WA
  • NPI 1154361814
  Care Compare affiliation
• Lewis County Hospital District No. 1

  dba Arbor Health Morton Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Morton, WA
  • NPI 1427092162

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1437648011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1138",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "983560019",
            "telephone_number": "360-496-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 ADAMS AVE",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "983569323",
            "telephone_number": "360-496-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERESKO",
        "first_name": "GARRETT",
        "middle_name": "PARKER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO61185768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morton Chiropractic Center PLLC
• Morton School District
• Todd Gordon Nelson, CRNA
• New Era Denture Service
• Dianna Padgett
• Jenifer Preston, DVM
• Pro Plus Physical Therapy
• Fabiola Eloisa Puga Duenas, MD
• Laura Ann Richardson, LMP
• Marissa L Sabin

• Foot & Ankle Surgery Podiatrist in Morton, WA
• Providers in Morton, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.