WALTER DON PETERSON (DC) – Chiropractor, NPI 1508962184

WALTER DON PETERSON (DC) is a healthcare provider. based in Corvallis, Oregon. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 272562 (OR). The NPI Number for WALTER DON PETERSON (DC) is 1508962184

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
WALTER DON PETERSON (DC)
NPI
1508962184
Phone
(541) 758-2225
Address
400 NW WALNUT BLVD STE 400
Enumeration Date
15 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WESTERN STATES COLLEGE OF CHIROPRACTIC
Secondary Phone
5417579933
Graduation Year
1989 (37 years ago)
PAC ID
6002967973
Group Practice PAC ID
9436049293
Professional Enrollment ID
I20090706000660
Address ID
OR973306308CO408XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

709 CHIROPRACTIC in OR

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Provider Addresses for WALTER DON PETERSON (DC)

  • 400, Northwest Walnut Boulevard, Corvallis, Benton County, Oregon, 97330, United States

    CORVALLIS, OR 973303877

    Phone: (541) 758-2225

    Fax: (541) 757-0565

    Mailing address matches the actual address.

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: 2009-07-06

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
I20090706000660IChiropracticORTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions51688$0
View full utilization report →

Insurance plans in this area (ZIP 97330)

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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: 9436049293View full group profile
NameSpecialtyState
C H I R O P R A C T I CAK
-OR
C H I R O P R A C T I COR
-OR
C H I R O P R A C T I CCA

Reviews

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Frequently asked questions

Where can patients find WALTER DON PETERSON (DC)'s NPI?
You can confirm WALTER DON PETERSON (DC) with NPI 1508962184; it appears in the national provider directory.
Is WALTER DON PETERSON (DC)'s NPI currently valid?
The extract we use shows WALTER DON PETERSON (DC) as active.
Does WALTER DON PETERSON (DC) list a primary specialty?
If you are matching referrals, note Chiropractor for WALTER DON PETERSON (DC). Clinical services aligned with this taxonomy classification.
What location metadata exists for WALTER DON PETERSON (DC)?
The page summarizes Corvallis, Oregon for WALTER DON PETERSON (DC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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Unknown Individual

Chiropractor
Heresco Chiropractic Clinic, 408, Northwest 7th Street, Corvallis, Benton County, Oregon, 97330, United States
NPI: 1356405104