JOHN G PETERSON (MD, FACC) – Cardiovascular Disease Physician, NPI 1013931997
Cardiovascular Disease Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
181 INTERVENTIONAL CARDIOLOGY in WA
Provider Addresses for JOHN G PETERSON (MD, FACC)
122 W 7th Ave Ste 232
Spokane, WA 992042354
Phone: (509) 455-8820
Fax: (509) 838-4978
Type: Location
982 E Columbia Ave
Colville, WA 991143316
Phone: (509) 685-5340
Fax: (509) 685-2086
Type: Location
62 W 7th Ave Ste 450
Spokane, WA 992042321
Phone: (509) 455-8820
Fax: (509) 838-4978
Type: Location
122 W 7th Ave Ste 450
Spokane, WA 992042339
Phone: (509) 455-8820
Fax: (509) 838-4978
Type: Location
East Central Avenue, Spokane County, Washington, 99212, United States
SUITE 240
SPOKANE, WA 992086291
Phone: (509) 455-8820
Fax: (509) 838-4978
Type: Location
PO BOX 31001-4114
PASADENA, CA 911100001
Phone: (866) 747-2455
Type: Mailing
331, Liberty Ridge Road, Cross Anchor Farms, Spartanburg County, South Carolina, 29335, United States
LIBERTY LAKE, WA 990190331
Phone: (866) 747-2455
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $183.
Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Shockwave Medical, Inc ($183).
Total Amount
$183
General + Research + Ownership
Payments
1
Total payment records
General Amount
$183
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Shockwave Medical, Inc | $183 |
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: 2010-02-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20091027000207 | I | Interventional Cardiology | WA | TBD |
| I20100222000468 | I | Interventional Cardiology | ID | 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 | 227 | 203 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 150 | 150 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 87 | 87 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 72 | 72 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 36 | 36 | $0 |
Insurance plans in this area (ZIP 99204)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | WA | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 35 | 30 |
| INTERVENTIONAL CARDIOLOGY | WA | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 81 | 81 |
| INTERVENTIONAL CARDIOLOGY | WA | 93922 | Ultrasound study of arteries of both arms and legs | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | WA | |
| Nurse Practitioner | WA | |
| Cardiovascular Disease (Cardiology) | WA | |
| - | WA | |
| Cardiovascular Disease (Cardiology) | WA | |
| Interventional Cardiology | WA | |
| Physician Assistant | MI | |
| Nurse Practitioner | CA | |
| - | WA | |
| Nurse Practitioner | WA |
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