Active NPI
Peter J Hillsamer, M.D.
- Otolaryngology Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 01038246A
- Practice address
- 6725 Stacey Hollow Way
Lafayette, IN 47905-7544 - Phone
- (765) 589-9111
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 01038246A | IN | Primary |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 01038246A | IN |
Addresses
Primary practice location
6725 Stacey Hollow Way
Lafayette, IN 47905-7544
Mailing address
6725 Stacey Hollow Way
Lafayette, IN 47905-7544
Phone (765) 589-9111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100232740 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | phillsamer@lafayetteent.emadirect.md | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Indiana University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2320 Concord Rd
Lafayette, IN 47909-2710
Hospital & facility affiliations
- Franciscan Health Lafayette
- Franciscan Health Crawfordsville
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01038246A | IN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Lafayette Otolaryngology Associates, Inc | Otolaryngology | Current | Accepting new patients |
| Franciscan Physician Network | Current | Accepting new patients | |
| Sagamore Surgical Services, Inc. | Past | Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
2320 Concord Rd
Lafayette, IN 47909
Phone (765) 446-5300
2320 Concord Rd
Ste A
Lafayette, IN 47909
Phone (765) 477-7436
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- phillsamer107078@direct.franciscanalliance.org
- phillsamer@lafayetteent.emadirect.md
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Otolaryngology Physician
- Lafayette, IN
- NPI 1720157951
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- Ambulatory Surgical Clinic/Center
- Lafayette, IN
- NPI 1003816307
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crawfordsville, IN
- NPI 1588774558
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1316026545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6725 STACEY HOLLOW WAY",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479057544",
"telephone_number": "765-589-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6725 STACEY HOLLOW WAY",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479057544",
"telephone_number": "765-589-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLSAMER",
"first_name": "PETER",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01038246A",
"primary": true
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "IN",
"license": "01038246A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100232740",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "phillsamer@lafayetteent.emadirect.md",
"affiliation": "N",
"endpointDescription": "phillsamer@lafayetteent.emadirect.md",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2320 Concord Rd",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479092710",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.