Samuel Nolan Peterson, AU.D.
NPI 1720332968ActiveIndividual· Audiologist· Grants Pass, OR
Audiologist (AU.D.) with St Lukes Clinic-Treasure Valley LLC, practicing in Grants Pass, Oregon. Medicare paid $2,654 for services to 131 patients in 2024.
Overview
| NPI | 1720332968 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AU.D. |
| Sole proprietor | No |
| NPI issued | Nov 8, 2012 |
| Last updated in NPPES | Nov 8, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 23642 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (ID); Practitioner - Qualified Audiologist (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 131 |
|---|---|
| Services billed | 162 across 2 procedure codes |
| Paid by Medicare | $2,654 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
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