Tyler Daniel Petersen, D.O.
Orthopaedic Trauma Physician · Vancouver, WA
Tyler Daniel Petersen, D.O. is an orthopaedic trauma physician with a practice address in Vancouver, Washington, and NPI 1093102220, issued on Apr 26, 2015. Check the license (Washington OP61629112, as entered in NPPES) on the Washington Medical Commission; the Medicare figures below come from public CMS files.
- Name
- Tyler Daniel Petersen
- Credential
- D.O.
- Primary taxonomy
- Orthopaedic Trauma Physician 207XX0801X
- License number
- OP61629112 WA
Self-reported in NPPES; status is on the state search - Practice location
- 200 NE Mother Joseph PL Ste 110, Vancouver, WA 98664
- Phone
- (360) 254-6161
- Enumerated
- Apr 26, 2015
- Record last updated
- Nov 21, 2025
- Fax
- (360) 803-0847
- Medicare enrollment
- Enrolled (PECOS I20250325003278); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest orthopaedic trauma physician records → All 36 in Washington → Look up another NPI →
Also registered at 200 NE Mother Joseph PL Ste 110
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Nathan Ambrose, PA-CSurgical Physician Assistant1285229500
- Juliet Anderson, PA-CPhysician Assistant1750074670
- Linde BaliolaPhysician Assistant1053959031
- Brian Boundy, PASurgical Physician Assistant1295325892
- Stephanie Conner, PA-CPhysician Assistant1457809550
- Chad CookPhysician Assistant1073276499
Verify Tyler Daniel Petersen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWashington Medical Commission
Search for license OP61629112Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
85% fewer Medicare Part D claims than the average orthopaedic trauma physician in 2024
23 Medicare Part D claims for 19 beneficiaries, against an average of 151 among the 627 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 77.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $2,726.92
19 payments; by number, the most common kind was food and beverage; the largest payer was Medical Device Business Services, Inc. The 722 providers of this specialty with any payment received $15,814.30 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Northwest Surgical Specialists PCVancouver, WA
- University OF Pittsburgh PhysiciansPittsburgh, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Tyler Daniel Petersen among 36 orthopaedic trauma physician records in Washington
Tyler Daniel Petersen, D.O. is one of 36 orthopaedic trauma physician records with a practice address in Washington. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 61% of them.
- NPI issued2015 · 61% of these records are older, 31% newer
- In a Medicare fileYes · 86% of these records are
- In the CMS Doctors and Clinicians fileYes · 81% of these records are
- Graduated2017 · median 2012 among the 28 with a school on file
- Record last updated2025 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XX0801X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopaedic Trauma Physician providers in Washington
There are 36 orthopaedic trauma physician records in Washington.
All 36 in Washington → Every provider in Vancouver → Orthopaedic Trauma Physician nationwide →
The 8 orthopaedic trauma physician records with the nearest ZIP codes
- Kevin Kahn, M.D.Vancouver, WA 986641760452197
- Danielle Ries De Chaffin, M.DVancouver, WA 986641942566302
- Brock Foster, M.D.Wenatchee, WA 988011598175390
- Conor Spady, M.D.Wenatchee, WA 988011437684941
- Laura Louthan, PA-COlympia, WA 985071922395359
- Derek Dombroski, MDOlympia, WA 985061992865869
- Amy Ford, MDYakima, WA 989021609260264
- Eric Puttler, M.D.Puyallup, WA 983741538138268
Common questions
What is Tyler Daniel Petersen, D.O.'s NPI number?
Tyler Daniel Petersen, D.O.'s National Provider Identifier (NPI) is 1093102220, issued on Apr 26, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Tyler Daniel Petersen, D.O. located?
The NPPES record lists a practice address at 200 NE Mother Joseph PL Ste 110, Vancouver, WA, 98664. Phone: (360) 254-6161. Providers update this record themselves, so call before visiting.
How can I verify Tyler Daniel Petersen, D.O.'s license?
NPPES lists Washington license number OP61629112, as entered by the provider. Search the Washington Medical Commission at https://wahelms.my.site.com/s/license-search. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Tyler Daniel Petersen, D.O. prescribe under Medicare Part D?
In 2024, Tyler Daniel Petersen, D.O. had 23 Medicare Part D claims for 19 beneficiaries; the average among orthopaedic trauma physician prescribers was 151. Part D covers Medicare prescriptions only.
What is Tyler Daniel Petersen, D.O.'s MIPS final score?
The 2023 MIPS final score is 77.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.