Ryan Jon Petersen, M.D.
NPI 1568551521ActiveIndividual· Emergency Medicine· Roseburg, OR
Emergency Medicine (M.D.) in Roseburg, Oregon, trained at Medical College of Wisconsin (class of 2005). 406 Medicare patients in 2024, $47,282 paid; nearly all of their 333 Part D prescriptions were generic (94%).
Overview
| NPI | 1568551521 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 11, 2006 |
| Last updated in NPPES | May 9, 2025 |
| Certified by provider | May 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | MD125955 | OR |
| Emergency Medicine | 207P00000X | BB4745785-2005017258 | MO |
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 - Emergency Medicine (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 406 |
|---|---|
| Services billed | 559 across 22 procedure codes |
| Paid by Medicare | $47,282 |
Part D prescriptions in 2024
| Prescriptions (claims) | 333 · 347 30-day fills |
|---|---|
| Patients | 232 |
| Total drug cost | $4,626 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | Medical College of Wisconsin |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Emergency Medicine |
Medical group
- Central Oregon Emergency Physicians LLCBend, OR · 29 clinicians
Hospital affiliation
- St Charles Medical Center - BendBend, OR
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 20 emergency medicine physicians in Roseburg · All emergency medicine physicians in Oregon