Geraldine Anne Peterdy, MD
NPI 1104864792ActiveIndividual· Pathology, Anatomic Pathology· Liberty Lake, WA
Pathology, Anatomic Pathology (MD) in Liberty Lake, Washington, trained at Washington University School of Medicine (class of 1994). Medicare paid $53,633 for services to 847 patients in 2024.
Overview
| NPI | 1104864792 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jun 3, 2006 |
| Last updated in NPPES | Nov 17, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology Primary | 207ZP0101X | MD00041937 | WA |
| Pathology, Dermatopathology | 207ZD0900X | MD00041937 | WA |
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 - Pathology (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 847 |
|---|---|
| Services billed | 2,180 across 22 procedure codes |
| Paid by Medicare | $53,633 |
Education and affiliations
| Medical school | Washington University School of Medicine |
|---|---|
| Graduation year | 1994 |
| Medicare specialty | Pathology |
Medical groups
- Providence Health and Services - OregonPortland, OR · 208 clinicians
- Providence Health and Services - OregonPortland, OR · 191 clinicians
- Providence Health and Services OregonSeaside, OR · 97 clinicians
- Providence Health and Services OregonHood River, OR · 82 clinicians
- Providence Health and Services - OregonNewberg, OR · 62 clinicians
- Providence Health and Services OregonMilwaukie, OR · 53 clinicians
- Providence Health and Services - OregonOregon City, OR · 52 clinicians
Hospital affiliations
- Providence Milwaukie HospitalMilwaukie, OR
- Providence Newberg Medical CenterNewberg, OR
- Providence Portland Medical CenterPortland, OR
- Providence St Vincent Medical CenterPortland, OR
- Providence Willamette Falls Medical CenterOregon City, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pathology, Anatomic Pathology providers in Liberty Lake
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