MR. PETER L IV LUSICH (M.D) – Anesthesiology Physician, NPI 1093735342
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
867 ANESTHESIOLOGY in OR
Loading map...
Provider Addresses for MR. PETER L IV LUSICH (M.D)
Klamath Falls Post Office, Walnut Avenue, Klamath Falls, Klamath County, Oregon, 97601, United States
KLAMATH FALLS, OR 976010075
Phone: (541) 882-1540
Fax: (541) 882-2583
Type: Mailing
Sky Lakes Medical Center, 2865, Daggett Avenue, Klamath Falls, Klamath County, Oregon, 97601, United States
KLAMATH FALLS, OR 976011106
Phone: (541) 882-6311
Fax: (775) 883-0797
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2013-04-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061009000224 | I | Anesthesiology | NV | TBD |
| I20130404000554 | I | Anesthesiology | OR | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 36 | 36 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 35 | 35 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 26 | 26 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 24 | 24 | $0 |
| 00142 | Anesthesia for lens surgery | 20 | 20 | $0 |
Insurance plans in this area (ZIP 97601)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | OR | 00142 | Anesthesia for lens surgery | 93 | 86 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| U R O L O G Y | OR | |
| Physician Assistant | OR | |
| A N E S T H E S I O L O G Y | WA | |
| A N E S T H E S I O L O G Y | MT | |
| Family Practice | OR | |
| Plastic And Reconstructive Surgery | OR | |
| Nurse Practitioner | OR | |
| A N E S T H E S I O L O G Y | WA | |
| - | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.