Doctor profile · Federal record
Dr. Tyler Petersen, D.O.
Orthopaedic Trauma Physician (CMS: Orthopedic Surgery) · Vancouver, WA
- NPI 1093102220
- Accepts Medicare
- MIPS 77.5 / 100 · 2023
- 9 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
200 Ne Mother Joseph Pl Ste 110
Vancouver, WA 986643293
(360) 254-6161
fax (360) 803-0847 - Mailing address
-
200 Ne Mother Joseph Pl Ste 210
Vancouver, WA 986643295
Credentials & registration
- NPI registered
- April 2015 — 11 yrs on file
- Profile last updated
- November 21, 2025
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 207XX0801X — NUCC code
- State license (1)
- Washington #OP61629112
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093102220. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
63
Distinct HCPCS
3
Medicare allowed
$6,948
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 25 | 25 | $125 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 23 | 19 | $86 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 15 | 14 | $122 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 26. This provider delivers 2.4× the peer median.Open Payments
Industry payments received
All-time total
$2,727
Transactions
19
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medical Device Business Services, Inc. | 5 | $1,629.90 | |
| DePuy Synthes Sales Inc. | 10 | $566.08 | |
| Stryker Corporation | 2 | $232.11 | |
| EXACTECH, INC. | 1 | $150.50 | |
| Smith+Nephew, Inc. | 1 | $148.33 |
By nature of payment
Frequently asked questions
What is Dr. Tyler Petersen's medical specialty?
Dr. Tyler Petersen practices Orthopaedic Trauma Physician in Vancouver, WA.
Where does Dr. Tyler Petersen practice?
Dr. Tyler Petersen practices at 200 Ne Mother Joseph Pl Ste 110, Vancouver, WA 986643293. Office phone: 3602546161.
What is Dr. Tyler Petersen's NPI?
Dr. Tyler Petersen's National Provider Identifier (NPI) is 1093102220, issued by NPPES.
Does Dr. Tyler Petersen accept Medicare assignment?
Yes. Dr. Tyler Petersen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tyler Petersen commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.