RONALD RAYMOND PETERSEN (MD) – Cardiovascular Disease Physician, NPI 1225020514

RONALD RAYMOND PETERSEN (MD) is a healthcare provider. based in Portland, Oregon. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. MD13668 (OR). The NPI Number for RONALD RAYMOND PETERSEN (MD) is 1225020514

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
RONALD RAYMOND PETERSEN (MD)
NPI
1225020514
Phone
(503) 215-6494
Address
PO BOX 3158
Enumeration Date
22 August 2005
Last Update Date
12 November 2021

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5039621000
Graduation Year
1982 (44 years ago)
PAC ID
7416855903
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20110518000310
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for RONALD RAYMOND PETERSEN (MD)

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    Type: Mailing

  • 1111, Northeast 99th Avenue, Gateway, Hazelwood, Portland, Metro, Multnomah County, Oregon, 97220, United States

    SUITE 201

    PORTLAND, OR 972209428

    Phone: (503) 962-1000

    Fax: (503) 963-3005

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 97208)

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Provider's Procedures

RONALD RAYMOND PETERSEN (MD) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC ELECTROPHYSIOLOGYOR93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report2424
CARDIAC ELECTROPHYSIOLOGYOR93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report12348

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: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

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Frequently asked questions

Where can patients find RONALD RAYMOND PETERSEN (MD)'s NPI?
You can confirm RONALD RAYMOND PETERSEN (MD) with NPI 1225020514; it appears in the national provider directory.
Is RONALD RAYMOND PETERSEN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does RONALD RAYMOND PETERSEN (MD) list a primary specialty?
If you are matching referrals, note Cardiovascular Disease Physician for RONALD RAYMOND PETERSEN (MD). Clinical services aligned with this taxonomy classification.
Where is RONALD RAYMOND PETERSEN (MD)'s primary listing?
We display Portland, Oregon because that is what the record indicates for RONALD RAYMOND PETERSEN (MD).
How can I contact RONALD RAYMOND PETERSEN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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