DR. CARLY ELIZABETH PETERSON (MD, FRCPC) – Anesthesiology Physician, NPI 1124307046
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,514 ANESTHESIOLOGY in WA
Provider Addresses for DR. CARLY ELIZABETH PETERSON (MD, FRCPC)
1959 NE Pacific St
Seattle, WA 981950001
Phone: (206) 598-4260
Type: Location
1100 9TH AVE
SEATTLE, WA 981012756
Phone: (206) 223-6980
Fax: (206) 223-6982
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $4,386.
Total Amount is formed as General ($4,386) + Research ($0) + Ownership ($0) = $4,386.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: FUJIFILM SonoSite, Inc. ($1,600).
Total Amount
$4,386
General + Research + Ownership
Payments
16
Total payment records
General Amount
$4,386
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| FUJIFILM SonoSite, Inc. | $1,600 |
| FUJIFILM Sonosite, Inc. | $1,400 |
| Verathon Inc. | $1,125 |
| Janssen Pharmaceuticals, Inc | $114 |
| Shockwave Medical, Inc | $57 |
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: 2015-07-16
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 |
|---|---|---|---|---|
| I20150716002386 | 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 |
|---|---|---|---|---|
| 01926 | Anesthesia for x-ray on artery of brain, heart, or chest | 42 | 42 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 31 | 28 | $0 |
| 00560 | Anesthesia for procedure on heart and large blood vessels | 21 | 21 | $0 |
Insurance plans in this area (ZIP 98195)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | WA | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 34 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| - | WA | |
| Certified Registered Nurse Anesthetist (Crna) | VT | |
| 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) | WI | |
| A N E S T H E S I O L O G Y | WA | |
| A N E S T H E S I O L O G Y | WA | |
| A N E S T H E S I O L O G Y | WA | |
| - | MT |
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