DR. JOHN L PETERSEN (MD) – Interventional Cardiology Physician, NPI 1629026893
Interventional Cardiology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
637 CARDIOVASCULAR DISEASE (CARDIOLOGY) in WA
Provider Addresses for DR. JOHN L PETERSEN (MD)
550 17th Ave Ste 680
Seattle, WA 981225795
Phone: (206) 215-4545
Fax: (206) 215-4550
Type: Location
Person Memorial Hospital, 615, Ridge Road, Roxboro, Person County, North Carolina, 27573, United States
ROXBORO, NC 275734629
Phone: (336) 599-2121
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 $132.
Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.
Last reported payment date: 2024-06-21 • Largest payer in this snapshot: Philips North America LLC ($132).
Total Amount
$132
General + Research + Ownership
Payments
1
Total payment records
General Amount
$132
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Philips North America LLC | $132 |
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: 2009-02-25
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 |
|---|---|---|---|---|
| I20090225000698 | I | Interventional Cardiology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 465 | 373 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 444 | 390 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 252 | 250 | $0 |
| 93296 | Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 124 | 37 | $0 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 123 | 37 | $0 |
Insurance plans in this area (ZIP 98122)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | NC | 85610 | Blood test, clotting time | 151 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology | UT | |
| Cardiovascular Disease (Cardiology) | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | OR | |
| - | WA | |
| Nurse Practitioner | UT | |
| Interventional Cardiology | WA | |
| Physician Assistant | TN | |
| Nurse Practitioner | WA |
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