DR. SHAUN N PETERSON (MD) – Orthopaedic Surgery Physician, NPI 1861472656
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
785 ORTHOPEDIC SURGERY in WA
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Provider Addresses for DR. SHAUN N PETERSON (MD)
PO BOX 3649
SPOKANE, WA 992203649
Phone: (509) 838-2531
Type: Mailing
1415, North Houk Road, Opportunity, Spokane Valley, Spokane County, Washington, 99216, United States
SUITE D
SPOKANE VALLEY, WA 992161043
Phone: (509) 838-2531
Type: Location
PO BOX 31630
TUCSON, AZ 857511630
Phone: (520) 784-6200
Fax: (520) 784-6109
Type: Mailing
5301 E GRANT RD
TUCSON, AZ 857122805
Phone: (520) 784-6200
Fax: (520) 784-6445
Type: Location
10164 N EIGHT IRON LN
ORO VALLEY, AZ 857377810
Phone:
Type: Mailing
1707 W SAINT MARYS RD STE 205
TUCSON, AZ 857452615
Phone: (520) 624-0888
Fax: (520) 624-0091
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $239.
Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Stryker Corporation ($119).
Total Amount
$239
General + Research + Ownership
Payments
9
Total payment records
General Amount
$239
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $119 |
| Smith+Nephew, Inc. | $103 |
| DeRoyal Industries, Inc. | $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: 2021-11-08
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20211108000584 | I | Orthopedic Surgery | AZ | 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 |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,500 | 16 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 220 | 42 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 175 | 60 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 138 | 112 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 137 | 109 | $0 |
Insurance plans in this area (ZIP 99220)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | WA | 20610 | Aspiration and/or injection of large joint or joint capsule | 133 | 82 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | AZ | |
| Physician Assistant | WA | |
| Physical Therapist In Private Practice | NM | |
| Physician Assistant | NJ | |
| Sports Medicine | OH | |
| - | AZ | |
| - | AZ | |
| Physical Therapist In Private Practice | AZ | |
| Physician Assistant | AZ | |
| Occupational Therapist In Private Practice | WI |
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