DR. GERALDINE ANNE PETERDY (MD) – Anatomic Pathology Physician, NPI 1104864792
Anatomic Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
369 PATHOLOGY in WA
Provider Addresses for DR. GERALDINE ANNE PETERDY (MD)
PO BOX 727
ALLIED PATHOLOGY, PC
LIBERTY LAKE, WA 990190727
Phone: (509) 255-1000
Type: Mailing
112 S GREENRIDGE DR
LIBERTY LAKE, WA 990199566
Phone: (509) 255-1000
Type: Location
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 $124.
Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.
Last reported payment date: 2023-12-13 • Largest payer in this snapshot: Blueprint Medicines Corporation ($124).
Total Amount
$124
General + Research + Ownership
Payments
1
Total payment records
General Amount
$124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Blueprint Medicines Corporation | $124 |
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: 2017-10-18
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 |
|---|---|---|---|---|
| I20171018003440 | I | Pathology | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,239 | 812 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 383 | 283 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 294 | 173 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 113 | 106 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 106 | 86 | $0 |
Insurance plans in this area (ZIP 99019)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | OR | |
| Internal Medicine | OR | |
| Nurse Practitioner | OR | |
| Hematology, Medical Oncology | WI | |
| P A T H O L O G Y | OR | |
| Nurse Practitioner | OR | |
| Internal Medicine | OR | |
| - | OR | |
| P A T H O L O G Y | PA | |
| P A T H O L O G Y | OR |
Reviews
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