DR. MICHAEL R PETERSON (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1700087376
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
369 PATHOLOGY in WA
Provider Addresses for DR. MICHAEL R PETERSON (M.D.)
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 984054234
Phone: (253) 403-1043
Fax: (253) 403-1357
Type: Location
UC San Diego Medical Center, 200, West Arbor Drive, Hillcrest, San Diego, San Diego County, California, 92103, United States
MC 8720
SAN DIEGO, CA 921038720
Phone: (619) 543-5966
Fax: (619) 543-3730
Type: Mailing
12501 E MARGINAL WAY S STE 200
TUKWILA, WA 981685163
Phone: (844) 344-4209
Fax: (866) 721-9696
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 $28.
Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.
Last reported payment date: 2023-04-25 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($28).
Total Amount
$28
General + Research + Ownership
Payments
1
Total payment records
General Amount
$28
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $28 |
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: 2026-02-12
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 |
|---|---|---|---|---|
| I20130508000511 | I | Pathology | WA | TBD |
| I20260212001956 | I | Pathology | AK | 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 | 832 | 456 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 255 | 56 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 122 | 91 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 117 | 110 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 109 | 95 | $0 |
Insurance plans in this area (ZIP 98405)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | CA | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 72 | 58 |
| PATHOLOGY | CA | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 17 | 12 |
| PATHOLOGY | CA | 88342 | Tissue or cell analysis by immunologic technique | 16 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | WA | |
| - | WA | |
| - | WA | |
| P A T H O L O G Y | WA | |
| P A T H O L O G Y | WA | |
| P A T H O L O G Y | WA |
Reviews
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