MISHA MARIE PEEL (DO) – Family Medicine Physician, NPI 1003374323

MISHA MARIE PEEL (DO) is a healthcare provider. based in Roseburg, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. DO221776 (OR). The NPI Number for MISHA MARIE PEEL (DO) is 1003374323

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MISHA MARIE PEEL (DO)
NPI
1003374323
Phone
(541) 672-9596
Address
150 NE KENNETH FORD DR
Enumeration Date
5 March 2019
Last Update Date
23 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416729596
Graduation Year
2021 (5 years ago)
PAC ID
7810398484
Group Practice PAC ID
0345233078
Professional Enrollment ID
I20240909003601
Address ID
OR974701042RO150XXDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

Provider Addresses for MISHA MARIE PEEL (DO)

  • 150 NE KENNETH FORD DR

    ROSEBURG, OR 974701042

    Phone: (541) 672-9596

    Type: Mailing

  • College of Osteopathic Medicine of the Pacific-Northwest, 200, Mullins Drive, Lebanon, Linn County, Oregon, 97355, United States

    LEBANON, OR 973553983

    Phone: (503) 313-7154

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240909003601IFamily PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97470)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345233078View full group profile
NameSpecialtyState
Family PracticeOR
-OR
-OR
Registered Dietitian Or Nutrition ProfessionalOR
Nurse PractitionerOR
-OR
Family PracticeOR
Family PracticeOR
Pediatric MedicineOR
Physician AssistantOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for MISHA MARIE PEEL (DO)?
MISHA MARIE PEEL (DO) — NPI 1003374323 — is the standard way to identify this listing.
Can I rely on MISHA MARIE PEEL (DO) being an active provider?
As of the registry snapshot, MISHA MARIE PEEL (DO) is marked active.
What is MISHA MARIE PEEL (DO)'s specialty?
The listing groups MISHA MARIE PEEL (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MISHA MARIE PEEL (DO) list a practice location?
Patients near Roseburg, Oregon may find MISHA MARIE PEEL (DO) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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