Matthew R Peterson, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

40970 Issued in WA

Practice address

4029 Northwest Ave Ste 301
Bellingham, WA 98226-9077

Phone

(360) 752-0518

Fax

(360) 676-2896

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT, WA, AK3 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 3

Specialty

AnesthesiologyAlso: Pain Management

Education

University of North Dakota School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Compass Pain Clinic Utah LLCGroup PAC ID 3072048289, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

70.59 of 100Reported as group

Quality

83.37

Promoting interoperability

100

Improvement activities

40

Cost

16.65

Merit-based Incentive Payment System (MIPS)

Final score

73.47 of 100Reported as individual

Quality

33.11

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14826/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/DACAAA

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.

• Compass Pain Clinic Utah LLC

  • Pain Medicine Physician
  • Cottonwood Heights, UT
  • NPI 1235950064
  Medicare reassignment Care Compare group NPD
• Sound Pain Alliance

  • Pain Clinic/Center
  • Bellingham, WA
  • NPI 1326308982

  Pain Medicine

  Medicare reassignment NPD
• Aa Pain Clinic, Inc.

  • Pain Medicine Physician
  • Anchorage, AK
  • NPI 1972596633
  Medicare reassignment NPD
• Compass Pain Clinic Washington PC

  • Physical Medicine & Rehabilitation Physician
  • Mount Vernon, WA
  • NPI 1235081837
  NPD Authorized official
• Medical Group of Alaska

  • General Practice Physician
  • Wasilla, AK
  • NPI 1750730594
  Medicare reassignment
• Sound Pain Alliance

  • Pain Clinic/Center
  • Arlington, WA
  • NPI 1659807584
  NPD
• Bellingham Anesthesia Associates, P.S.

  • Anesthesiology Physician
  • Bellingham, WA
  • NPI 1609893460
  NPD (past)
• Providence Wa Anesthesia Services, P.C.

  • Anesthesiology Physician
  • Everett, WA
  • NPI 1669615894
  NPD (past)
• Medical Group of Alaska

  • Pain Medicine Physician
  • Wasilla, AK
  • NPI 1174882971
  NPD (past)
• Oregon Trail Health Care

  • Pain Medicine (Anesthesiology) Physician
  • Bend, OR
  • NPI 1851679583
  NPD (past)
• Urgent Care Associates

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1396771028
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1891785606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 NORTHWEST AVE STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269077",
            "telephone_number": "360-752-0518",
            "fax_number": "360-676-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 NORTHWEST AVE STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269077",
            "telephone_number": "360-752-0518",
            "fax_number": "360-676-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "40970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021556",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cody Petersen, PTA
• Mark Linton Petersen, MS
• Elke Peterson, DPT
• Kyle Peterson
• Marissa Michelle Peterson
• Nadya A. Petkova, MA
• Petrichor Psychotherapy, LLC
• Avery Cortez Petro
• Victoria Petruchok
• John Mark Pettit, MD

• Pain Medicine (Anesthesiology) Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Pain Medicine (Anesthesiology) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.