Sean Luke Peterson, M.D.
NPI 1619362001ActiveIndividual· Surgery· Clackamas, OR
Surgery (M.D.) in Clackamas, Oregon, trained at University of Wisconsin School of Medicine (class of 2015). Their prescriptions cost Medicare Part D more than their services did: $4,571 for 158 claims, against $2,495 paid for services in 2024.
Overview
| NPI | 1619362001 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 2, 2015 |
| Last updated in NPPES | Dec 2, 2021 |
| Certified by provider | Dec 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | MD201352 | OR |
| Surgery | 208600000X | MD61103323 | WA |
| Surgery | 208600000X | 63579 | MN |
| Surgery | 208600000X | MD47700 | IA |
| Surgery | 208600000X | 73695-20 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (OR); Practitioner - General Surgery (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 19 across 8 procedure codes |
| Paid by Medicare | $2,495 |
Part D prescriptions in 2024
| Prescriptions (claims) | 158 · 205 30-day fills |
|---|---|
| Patients | 70 |
| Total drug cost | $4,571 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | University of Wisconsin School of Medicine |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | General Surgery |
Medical group
- Kaiser Foundation Health Plan of the NorthwestSalem, OR · 1,807 clinicians
Hospital affiliation
- Kaiser Sunnyside Medical CenterClackamas, 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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