DR. PETER M MIKKELSEN (M.D.) – Emergency Medicine Physician, NPI 1790745792
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,206 EMERGENCY MEDICINE in WA
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Provider Addresses for DR. PETER M MIKKELSEN (M.D.)
Pullman Regional Hospital, 835, Southeast Bishop Boulevard, Pullman, Whitman County, Washington, 99163, United States
PULLMAN, WA 991635512
Phone: (509) 336-7388
Fax: (509) 336-7389
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)
CMS reports 4 Open Payments records for all available years, with a total value of $2,637.
Total Amount is formed as General ($2,637) + Research ($0) + Ownership ($0) = $2,637.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Ceribell, Inc. ($2,620).
Total Amount
$2,637
General + Research + Ownership
Payments
4
Total payment records
General Amount
$2,637
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ceribell, Inc. | $2,620 |
| Abbott Laboratories | $17 |
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: 2003-12-15
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 |
|---|---|---|---|---|
| I20031215000755 | I | Emergency Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99163)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| - | ID | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Family Practice | WA | |
| General Surgery | WA | |
| General Surgery | WA | |
| Orthopedic Surgery | ID | |
| Family Practice, Obstetrics/Gynecology | WA | |
| Emergency Medicine | WA |
Reviews
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