Phillip Allen Peterson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101042606 Issued in VA

Practice address

3997 Beckley Rd
Princeton, WV 24740-7660

Phone

(304) 431-5499

Fax

(304) 431-3400

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family PracticeAlso: Geriatric Medicine

Education

University of Iowa, RJ & L Carver College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluestone Health Association, Inc.Group PAC ID 3577505221, shared by 7 NPIs, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Services of America Home Health and Hospice Home health agency, Richlands, VA, CCN 497027
• PCH Home Health Home health agency, Princeton, WV, CCN 517081
• Amedisys Home Health of West Virginia Home health agency, Beckley, WV, CCN 517054
• Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ppeterso@yourcarecommunity.org
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71392

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bluestone Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Princeton, WV
  • NPI 1003453317
  Medicare reassignment NPD
• Bluestone Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bluefield, WV
  • NPI 1174402572
  Medicare reassignment NPD
• Bluestone Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Princeton, WV
  • NPI 1346266848
  Medicare reassignment NPD
• Bluestone Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Princeton, WV
  • NPI 1437508314
  Medicare reassignment NPD
• Bluestone Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bluefield, WV
  • NPI 1770950396
  Medicare reassignment NPD
• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  VA

  Medicare reassignment NPD
• Bluestone Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bluefield, VA
  • NPI 1780342931
  Medicare reassignment NPD
• Princeton Community Hospital Assn., Inc

  • Family Medicine Physician
  • Bluefield, WV
  • NPI 1518273507

  VA

  Medicare reassignment
• Bluestone Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Montcalm, WV
  • NPI 1043387327
  NPD
• Bluefield HBP Medical Group LLC

  • Anesthesiology Physician
  • Bluefield, WV
  • NPI 1750699260
  NPD (past)
• Bluefield Regional Medical Center Inc

  • Rural Health Clinic/Center
  • Bluefield, VA
  • NPI 1184890808
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys West Virginia, L.L.C.

  • Home Health Agency
  • Bluefield, WV
  • NPI 1427240183
  Care Compare affiliation Name & address match
• Princeton Community Hospital Assn., Inc.

  • General Acute Care Hospital
  • Princeton, WV
  • NPI 1558313213
  Care Compare affiliation
• Total Home Health Care Inc

  • Home Health Agency
  • Richlands, VA
  • NPI 1508811001
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1104882596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3997 BECKLEY RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247407660",
            "telephone_number": "304-431-5499",
            "fax_number": "304-431-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3997 BECKLEY RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247407660",
            "telephone_number": "304-431-5499",
            "fax_number": "304-431-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "PHILLIP",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101042606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Perry
• Samantha Perry
• Lori Lee Persinger-Lovern, PT, OCS
• Naeem Pervaiz, MD
• Jana Michelle Peters, DO
• Leah D Petrunger, PA-C
• Aaron Zane Pettrey
• Jennifer Pettry, DSP
• Kaleigh Peyton, RN
• Philip J Branson M D P C Inc

• Family Medicine Physician in Princeton, WV
• Providers in Princeton, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.