PETER WILLIAM ANDERSON (DC, PA-C) – Medical Physician Assistant, NPI 1144337916

PETER WILLIAM ANDERSON (DC, PA-C) is a healthcare provider. based in Salem, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials DC, PA-C. They hold a License No. 197354 (OR). The NPI Number for PETER WILLIAM ANDERSON (DC, PA-C) is 1144337916

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
PETER WILLIAM ANDERSON (DC, PA-C)
NPI
1144337916
Phone
(503) 540-9999
Address
2720 COMMERCIAL ST SE STE 201
Enumeration Date
25 August 2006
Last Update Date
20 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034850350
Graduation Year
1995 (31 years ago)
PAC ID
5597749499
Group Practice PAC ID
3971576240
Professional Enrollment ID
I20200708002550
Address ID
OR973015057SA3025XSEXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for PETER WILLIAM ANDERSON (DC, PA-C)

  • 2720 COMMERCIAL ST SE STE 201

    SALEM, OR 973024586

    Phone: (503) 540-9999

    Fax: (503) 540-3105

    Type: Location

  • 3025 RYAN DR SE

    SALEM, OR 973015057

    Phone: (503) 540-9999

    Fax: (503) 540-3105

    Type: Location

  • 723, Northeast Evans Street, McMinnville, Yamhill County, Oregon, 97128, United States

    MCMINNVILLE, OR 971283925

    Phone: (503) 434-9002

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 103 Open Payments records for all available years, with a total value of $2,068.

Total Amount is formed as General ($2,068) + Research ($0) + Ownership ($0) = $2,068.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ViiV Healthcare Company ($252).

Total Amount

$2,068

General + Research + Ownership

Payments

103

Total payment records

General Amount

$2,068

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-07-08

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040617000478IChiropracticORTBD
I20200708002550IPhysician AssistantORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes428214$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count8150$0
80053Blood test, comprehensive group of blood chemicals6643$0
85651Red blood cell sedimentation rate, to detect inflammation, non-automated6641$0
86140Measurement c-reactive protein for detection of infection or inflammation6140$0
View full utilization report →

Insurance plans in this area (ZIP 97302)

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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: 3971576240View full group profile
NameSpecialtyState
Nurse PractitionerOR
Physician AssistantOR
Infectious Disease, Internal MedicineWI
H E M A T O L O G Y/ O N C O L O G YOR
Hematology/Oncology, Hematology, Medical OncologyOR
Internal Medicine, Infectious DiseaseOR
Nurse PractitionerOR
Physician AssistantOR
Nurse PractitionerOR
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for PETER WILLIAM ANDERSON (DC, PA-C) in U.S. healthcare records?
The official identifier for PETER WILLIAM ANDERSON (DC, PA-C) is NPI 1144337916.
Is PETER WILLIAM ANDERSON (DC, PA-C) shown as active in public data?
Registry records indicate PETER WILLIAM ANDERSON (DC, PA-C) maintains an active NPI.
What kind of doctor is PETER WILLIAM ANDERSON (DC, PA-C)?
PETER WILLIAM ANDERSON (DC, PA-C) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is PETER WILLIAM ANDERSON (DC, PA-C) associated with Salem?
Public fields place PETER WILLIAM ANDERSON (DC, PA-C) around Salem, Oregon. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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