DR. CORNELIUS R PETERSON (MD) – Anesthesiology Physician, NPI 1063642957
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,337 ANESTHESIOLOGY in VA
Provider Addresses for DR. CORNELIUS R PETERSON (MD)
77 NEALY BLVD
LANGLEY AFB HOSPITAL, ANESTHESIOLOGY
HAMPTON, VA 23665
Phone: (757) 764-0856
Type: Mailing
101 W 8TH AVE
SPOKANE, WA 992042307
Phone: (509) 474-3181
Type: Location
PO BOX 4069
EVERETT, WA 982040007
Phone: (425) 407-1000
Type: Mailing
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: 2022-08-09
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 |
|---|---|---|---|---|
| I20220809003346 | I | Anesthesiology | WA | 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 43 | 43 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 34 | 34 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 33 | 33 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 27 | 27 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 27 | 27 | $0 |
Insurance plans in this area (ZIP 23665)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MT | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| - | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| A N E S T H E S I O L O G Y | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| A N E S T H E S I O L O G Y | UT | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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