DR. KRISTOPHER BRYAN PETERSON (D.C.) – Internist Chiropractor, NPI 1790810844

DR. KRISTOPHER BRYAN PETERSON (D.C.) is a healthcare provider. based in Hermiston, Oregon. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 1525 (OR). The NPI Number for DR. KRISTOPHER BRYAN PETERSON (D.C.) is 1790810844

Main info

Male
Sole Proprietor
47 Years Of Experience
Name
DR. KRISTOPHER BRYAN PETERSON (D.C.)
NPI
1790810844
Phone
(541) 567-6277
Address
1002 W ELM AVE
Enumeration Date
22 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WESTERN STATES COLLEGE OF CHIROPRACTIC
Secondary Phone
5415676277
Graduation Year
1979 (47 years ago)
PAC ID
6608975719
Group Practice PAC ID
2365439262
Professional Enrollment ID
I20120206000030
Address ID
OR978382711HE1002XAVEX400
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

Provider Addresses for DR. KRISTOPHER BRYAN PETERSON (D.C.)

  • 1002 W ELM AVE

    PO BOX 211

    HERMISTON, OR 978382711

    Phone: (541) 567-6277

    Fax: (541) 567-9055

    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: 2012-02-06

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
I20120206000030IChiropracticORTBD

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 regions86199$0
98942Chiropractic manipulative treatment, 5 spinal regions3223$0
View full utilization report →

Insurance plans in this area (ZIP 97838)

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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: 2365439262View full group profile
NameSpecialtyState
C H I R O P R A C T I CUT

Reviews

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Frequently asked questions

Is there an official ID for DR. KRISTOPHER BRYAN PETERSON (D.C.) in U.S. healthcare records?
The official identifier for DR. KRISTOPHER BRYAN PETERSON (D.C.) is NPI 1790810844.
Active or inactive — what applies to DR. KRISTOPHER BRYAN PETERSON (D.C.)?
You should see DR. KRISTOPHER BRYAN PETERSON (D.C.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. KRISTOPHER BRYAN PETERSON (D.C.)?
DR. KRISTOPHER BRYAN PETERSON (D.C.) is associated with Internist Chiropractor in the directory — Clinical services aligned with this taxonomy classification.
Is DR. KRISTOPHER BRYAN PETERSON (D.C.) located near Hermiston?
DR. KRISTOPHER BRYAN PETERSON (D.C.) currently maps to Hermiston, Oregon in this extract.
Can I trust this NPI listing for DR. KRISTOPHER BRYAN PETERSON (D.C.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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