DR. MICHAEL J. PETERS (M.D.) – Diagnostic Radiology Physician, NPI 1356378129
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MICHAEL J. PETERS (M.D.)
33rd Avenue West, Lynnwood, Snohomish County, Washington, 98037, United States
SUITE 210
LYNNWOOD, WA 980364748
Phone: (425) 563-1500
Fax: (425) 563-1374
Mailing address matches the actual address.
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.
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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: 2008-05-09
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 |
|---|---|---|---|---|
| I20080509000397 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 543 | 510 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 183 | 183 | $0 |
| 70450 | Ct scan head or brain without contrast | 136 | 135 | $0 |
| 71046 | X-ray of chest, 2 views | 118 | 118 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 111 | 111 | $0 |
Insurance plans in this area (ZIP 98036)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WA | 71010 | X-ray of chest, 1 view, front | 320 | 292 |
| DIAGNOSTIC RADIOLOGY | WA | 71250 | CT scan chest | 41 | 41 |
| DIAGNOSTIC RADIOLOGY | WA | 73110 | X-ray of wrist, minimum of 3 views | 17 | 15 |
| DIAGNOSTIC RADIOLOGY | WA | 73630 | X-ray of foot, minimum of 3 views | 24 | 22 |
| DIAGNOSTIC RADIOLOGY | WA | 74177 | CT scan of abdomen and pelvis with contrast | 110 | 107 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | WA | |
| General Practice, Diagnostic Radiology, Interventional Radiology | WA | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology, Interventional Radiology | WA | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA |
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