MERITT ALEENA PETERSON (PA-C) – Surgical Physician Assistant, NPI 1689211013
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for MERITT ALEENA PETERSON (PA-C)
501 N Graham St Ste 500
Portland, OR 972272003
Phone: (503) 229-8455
Fax: (503) 229-7028
Type: Location
847 NE 19TH AVE STE 300
PORTLAND, OR 972322686
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
2222 NW LOVEJOY ST STE 622
PORTLAND, OR 972105104
Phone: (503) 229-8455
Fax: (503) 299-7028
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $547.
Total Amount is formed as General ($547) + Research ($0) + Ownership ($0) = $547.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($221).
Total Amount
$547
General + Research + Ownership
Payments
22
Total payment records
General Amount
$547
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
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: 2020-02-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200214000772 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 124 | 104 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 29 | 29 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 28 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 97227)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Internal Medicine, Sleep Medicine | OR | |
| Internal Medicine | WA | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR |
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