PETER E LOGERFO (MD, PLLC) – Family Medicine Physician, NPI 1902801889

PETER E LOGERFO (MD, PLLC) is a healthcare provider. based in Puyallup, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD, PLLC. They hold a License No. MD00036213 (WA). The NPI Number for PETER E LOGERFO (MD, PLLC) is 1902801889

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
PETER E LOGERFO (MD, PLLC)
NPI
1902801889
Phone
(253) 548-0453
Address
11025 CANYON RD E
Enumeration Date
16 June 2005
Last Update Date
18 October 2017

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
4183650021
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20050712001262
Address ID
WA983351706GI4700XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for PETER E LOGERFO (MD, PLLC)

  • 11025 CANYON RD E

    SUITE A

    PUYALLUP, WA 983734268

    Phone: (253) 548-0453

    Fax: (253) 268-0500

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-07-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050712001262IFamily PracticeWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes328175$0
99213Established patient office or other outpatient visit, 20-29 minutes234138$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit131131$0
83036Hemoglobin a1c level6240$0
36415Insertion of needle into vein for collection of blood sample4543$0
View full utilization report →

Insurance plans in this area (ZIP 98373)

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Provider's Procedures

PETER E LOGERFO (MD, PLLC) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWA20610Aspiration and/or injection of large joint or joint capsule1614
FAMILY MEDICINEWA83036Hemoglobin A1C level13357

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

Reviews

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Frequently asked questions

Can I cross-check PETER E LOGERFO (MD, PLLC) using NPI 1902801889?
NPI 1902801889 belongs to PETER E LOGERFO (MD, PLLC); compare other details if you need extra assurance.
Is there an active status for PETER E LOGERFO (MD, PLLC)?
For scheduling context, PETER E LOGERFO (MD, PLLC) is shown as active in the registry.
What clinical focus is listed for PETER E LOGERFO (MD, PLLC)?
At a glance, PETER E LOGERFO (MD, PLLC) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with PETER E LOGERFO (MD, PLLC)?
Directory geography for PETER E LOGERFO (MD, PLLC) centers on Puyallup, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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