DR. GERALD E JR. PETERS (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1891703021
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
232 DERMATOLOGY in OR
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Provider Addresses for DR. GERALD E JR. PETERS (M.D.)
Northeast Williamson Court, Bend, Deschutes County, Oregon, 97701, United States
STE B
BEND, OR 977013925
Phone: (541) 323-7546
Fax: (541) 541-3234
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)
CMS reports 42 Open Payments records for all available years, with a total value of $1,296.
Total Amount is formed as General ($1,296) + Research ($0) + Ownership ($0) = $1,296.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: MIMEDX Group, Inc. ($764).
Total Amount
$1,296
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,296
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $764 |
| Regeneron Healthcare Solutions, Inc. | $111 |
| Dermavant Sciences, Inc. | $81 |
| Incyte Corporation | $49 |
| UCB, Inc. | $49 |
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: 2005-09-26
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 |
|---|---|---|---|---|
| I20050926000951 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 658 | 153 | $0 |
| Q4187 | Epicord, per square centimeter | 503 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 454 | 302 | $0 |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 427 | 173 | $0 |
| Q4186 | Epifix, per square centimeter | 370 | 48 | $0 |
Insurance plans in this area (ZIP 97701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | OR | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 84 | 76 |
| DERMATOLOGY | OR | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 15 | 15 |
| DERMATOLOGY | OR | 17003 | Destruction of 2-14 skin growths | 503 | 91 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Physician Assistant | AK |
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