DR. PRESTON LANE PETERSON MD
NPI 1245201508
Internal Medicine - Geriatric Medicine in Portland, OR
NPI Status: Active since January 26, 2006
Contact Information
2701 NW VAUGHN ST
SUITE 160
PORTLAND, OR
ZIP 97210
Phone: (503) 499-5200
Fax: (503) 499-5455
- Individual
- Male
- Internal Medicine
- Geriatric Medicine
- Accepts Insurance
- PECOS Enrolled
About PRESTON PETERSON
This page provides the complete NPI Profile along with additional information for Preston Peterson, an internist established in Portland, Oregon with a medical specialization in Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1245201508 assigned on January 2006. The practitioner's primary taxonomy code is 207RG0300X with license number MD25733 (OR). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1245201508
- Provider Name
- DR. PRESTON LANE PETERSON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2701 NW VAUGHN ST SUITE 160 PORTLAND, OR 97210
- Location Phone
- (503) 499-5200
- Location Fax
- (503) 499-5455
- Mailing Address
- 2701 NW VAUGHN ST SUITE 160 PORTLAND, OR 97210
- Mailing Phone
- (503) 499-5200
- Mailing Fax
- (503) 499-5455
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-26-2006
- Last Update Date
- 02-04-2022
- Code Navigator
An internist like Preston Peterson is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Geriatric Medicine
- Taxonomy Code
- 207RG0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD25733
- License State
- OR
- Taxonomy Description
- An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | MD60167468 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- KP OR Bronze 6000 - EPO
- KP OR Bronze HSA 7100 - EPO
- KP OR Gold 0 - EPO
- KP OR Gold 1750 - EPO
- KP OR Silver 3000 - EPO
- KP OR Silver 4000 - EPO
- KP Oregon Standard Bronze Plan - EPO
- KP Oregon Standard Gold Plan - EPO
- KP Oregon Standard Silver Plan - EPO
- KP OR Family Dental - $100 Ded - EPO
- KP OR Family Dental - $1000 - EPO
- KP OR Family Dental - $1000/$50 Ded - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Preston Peterson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 97210 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $176.88
- Minimum New Patient Price $58.99
- Maximum New Patient Price $176.88
- Average New Patient Copayment $44.22
- Minimum New Patient Copayment $14.74
- Maximum New Patient Copayment $44.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.51
- Minimum Established Patient Price $19.32
- Maximum Established Patient Price $144.79
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.83
- Maximum Established Patient Copayment $36.19
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 2 | 0 | 1 | 5 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 0 | 2 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 0 + 2 + 5 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1245201508 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801852264 | DR. SCOTT NORMAN LOSK PH.D. Individual | Clinical Neuropsychologist | 2701 NW VAUGHN ST SUITE 350 PORTLAND, OR 97210 (503) 972-9833 |
| 1285647768 | MS. LINDA A BARBEE PT Individual | Physical Therapist | 2701 NW VAUGHN ST PORTLAND, OR 97210 (503) 721-6800 |
| 1770596173 | MRS. LILIANA ARRECHEA O.T.R. Individual | Occupational Therapist | 2701 NW VAUGHN ST PORTLAND, OR 97210 (503) 721-6800 |
| 1750494431 | ELIZABETH PEREZ QUIGLEY MSPT Individual | Physical Therapist | 2701 NW VAUGHN ST PORTLAND, OR 97210 (503) 721-6800 |
| 1679686372 | DR. DAVID JOHN ZEPS M.D. Individual | Internal Medicine (Geriatric Medicine) | 2701 NW VAUGHN ST PORTLAND, OR 97210 (503) 499-5200 |
| 1235243296 | MR. WENDY MICHEL MOORE MA PHYSICAL THERAPY Individual | Physical Therapist | 2701 NW VAUGHN ST MONTGOMERY PARK OFFICE PORTLAND, OR 97210 (503) 499-5200 |
| 1881709046 | MR. JEFFREY JAMES GULLIFORD Individual | Physical Therapist | 2701 NW VAUGHN ST SUITE 140 PORTLAND, OR 97210 (360) 891-9647 |
| 1184731242 | ANDREA JANE WALL OTR/L Individual | Occupational Therapist | 2701 NW VAUGHN ST STE 140 PORTLAND, OR 97210 (503) 499-5200 |
| 1144337007 | MS. LINDA MAUDE JOHNS OTR/L Individual | Occupational Therapist | 2701 NW VAUGHN ST PORTLAND, OR 97210 (503) 721-6800 |
| 1033227632 | MISS MOLLY TERECIA MEADOWS BS Individual | Physical Therapist | 2701 NW VAUGHN ST PORTLAND, OR 97210 (503) 721-6800 |
| 1346352051 | MS. JENNY LYNN WADMAN PT Individual | Physical Therapist | 2701 NW VAUGHN ST SUITE 140 PORTLAND, OR 97210 (503) 499-5144 |
| 1245342989 | LANETTE LEE HAMMETT ANP Individual | Nurse Practitioner (Adult Health) | 2701 NW VAUGHN ST PORTLAND, OR 97210 (503) 499-5200 |
| 1205938784 | VIRGINIA M SYTSMA MD Individual | Internal Medicine | 2701 NW VAUGHN ST SUITE 160 PORTLAND, OR 97210 (503) 721-6800 |
| 1720183825 | MS. BETH H PARASKEVA GNP,ANP Individual | Nurse Practitioner (Adult Health) | 2701 NW VAUGHN ST PORTLAND, OR 97210 (503) 721-6800 |
| 1932206901 | SHARON JEAN KENOSKI FNP Individual | Nurse Practitioner (Family) | 2701 NW VAUGHN ST PORTLAND, OR 97210 (503) 499-5200 |
| 1871691014 | MRS. AUTUMN JESSICA CARROLL OTR/L Individual | Occupational Therapist | 2701 NW VAUGHN ST PORTLAND, OR 97210 (503) 721-6800 |
| 1487753331 | PATRICK LEE FITZGERALD M.D. Individual | Internal Medicine (Geriatric Medicine) | 2701 NW VAUGHN ST SUITE 140 PORTLAND, OR 97210 (503) 499-5442 |
| 1164517678 | HEATHER L HEIMBECK M.A., CCC-SLP Individual | Speech-Language Pathologist | 2701 NW VAUGHN ST PORTLAND, OR 97210 (503) 499-5200 |
| 1396831947 | SALLY ANN ROSENFELD I M.D. Individual | Internal Medicine (Geriatric Medicine) | 2701 NW VAUGHN ST SUITE 160 PORTLAND, OR 97210 (503) 499-5200 |
| 1396831178 | LOUISE CLARK MD Individual | Family Medicine | 2701 NW VAUGHN ST SUITE 140 PORTLAND, OR 97210 (503) 721-6800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245201508, enumerated in the NPI registry as an "individual" on January 26, 2006
The provider is located at 2701 Nw Vaughn St Suite 160 Portland, Or 97210 and the phone number is (503) 499-5200
The provider's speciality is Internal Medicine with taxonomy code 207RG0300X with a focus in Geriatric Medicine
The provider might be accepting Accepts: Kaiser Permanente. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $176.88 with an average copayment of $44.22 for new patient appointments. Established patients should expect a typical charge of $103.51 and an average copayment of 25.87. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on January 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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