Cornelius R. Peterson, MD
NPI 1063642957ActiveIndividual· Anesthesiology· Spokane, WA
Anesthesiology (MD) in Spokane, Washington, trained at University of Kansas School of Med (Kc/Wich/Sal) (class of 2009). Medicare paid $32,943 for services to 260 patients in 2024.
Overview
| NPI | 1063642957 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jul 25, 2009 |
| Last updated in NPPES | Aug 1, 2022 |
| Certified by provider | Aug 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | MD61305762 | WA |
| Internal Medicine | 207R00000X | 9407283 | KS |
| Anesthesiology | 207L00000X | 9407283 | KS |
| Anesthesiology | 207L00000X | 27117 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 260 |
|---|---|
| Services billed | 349 across 81 procedure codes |
| Paid by Medicare | $32,943 |
Education and affiliations
| Medical school | University of Kansas School of Med (Kc/Wich/Sal) |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Anesthesiology |
Medical group
- Providence Health and Service- WashingtonSpokane, WA · 173 clinicians
Hospital affiliations
- Prov Sacred Hrt Med Ctr & Childs Hosp.Spokane, WA
- Providence Holy Family HospitalSpokane, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 146 anesthesiologists in Spokane · All anesthesiologists in Washington