RYAN C PETERSEN (MD) – Hospitalist Physician, NPI 1164513008

RYAN C PETERSEN (MD) is a healthcare provider. based in Portland, Oregon. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD24586 (OR). The NPI Number for RYAN C PETERSEN (MD) is 1164513008

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
RYAN C PETERSEN (MD)
NPI
1164513008
Phone
Not provided
Address
PO BOX 3390
Enumeration Date
27 September 2006
Last Update Date
3 April 2017

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5413876138
Graduation Year
2000 (26 years ago)
PAC ID
5799774485
Group Practice PAC ID
7315856010
Professional Enrollment ID
I20040507001297
Address ID
OR970311587HO810XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

645 HOSPITALIST in OR

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Provider Addresses for RYAN C PETERSEN (MD)

  • 3390, Southwest 87th Avenue, Raleigh West, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083390

    Phone:

    Type: Mailing

  • 1151, May Street, Hood River, Hood River County, Oregon, 97031, United States

    HOOD RIVER, OR 970311552

    Phone: (541) 399-7552

    Type: Location

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: 2004-05-07

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
I20040507001297IHospitalistORTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13278$0
99239Hospital discharge day management, more than 30 minutes7168$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5433$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5048$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3426$0
View full utilization report →

Insurance plans in this area (ZIP 97208)

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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: 7315856010View full group profile
NameSpecialtyState
Internal MedicineOR
Orthopedic SurgeryMD
Emergency MedicineME
R H E U M A T O L O G YOR
Cardiovascular Disease (Cardiology)OR
Internal Medicine, HospitalistOR
-OR
-OR
Nurse PractitionerOR
Hospitalist, Internal MedicineOR

Reviews

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Frequently asked questions

What number should I use to identify RYAN C PETERSEN (MD) for billing?
Administrative and clinical systems typically use NPI 1164513008 for RYAN C PETERSEN (MD).
Quick check: is RYAN C PETERSEN (MD) active?
Public NPPES data shows RYAN C PETERSEN (MD) with an active NPI status right now.
What type of care does RYAN C PETERSEN (MD) provide?
RYAN C PETERSEN (MD)'s profile centers on Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Can patients visit RYAN C PETERSEN (MD) in Portland, Oregon?
For routing, start with Portland, Oregon for RYAN C PETERSEN (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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