DR. TYLER DANIEL PETERSEN (D.O.) – Orthopaedic Surgery Physician, NPI 1093102220
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
383 ORTHOPEDIC SURGERY in OR
Provider Addresses for DR. TYLER DANIEL PETERSEN (D.O.)
200 NE MOTHER JOSEPH PL STE 210
VANCOUVER, WA 986643295
Phone: (360) 254-6161
Fax: (360) 803-0847
Type: Mailing
3600 NW SAMARITAN DR
CORVALLIS, OR 973303737
Phone: (541) 768-4906
Type: Mailing
200 NE MOTHER JOSEPH PL STE 110
VANCOUVER, WA 986643293
Phone: (360) 254-6161
Fax: (360) 803-0847
Type: Location
3471 5TH AVE STE 1010
PITTSBURGH, PA 152133221
Phone: (412) 605-3252
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $3,094.
Total Amount is formed as General ($3,094) + Research ($0) + Ownership ($0) = $3,094.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,630).
Total Amount
$3,094
General + Research + Ownership
Payments
23
Total payment records
General Amount
$3,094
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $1,630 |
| DePuy Synthes Sales Inc. | $933 |
| Stryker Corporation | $232 |
| EXACTECH, INC. | $151 |
| Smith+Nephew, Inc. | $148 |
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: 2025-03-25
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 |
|---|---|---|---|---|
| I20220802002994 | I | Orthopedic Surgery | PA | TBD |
| I20250325003278 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 25 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 14 | $0 |
Insurance plans in this area (ZIP 98664)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Critical Care (Intensivists) | PA | |
| - | PA | |
| - | PA | |
| Cardiac Surgery, General Surgery | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| - | MD | |
| - | SC | |
| - | PA | |
| - | PA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.