Individual provider Active NPI

Peter J Hillsamer, M.D.

  • Otolaryngology Physician
  • Lafayette, IN
National Provider Identifier
1316026545
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01038246A Issued in IN
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

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100232740MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607001030 IN Practitioner - Otolaryngology 8224029095 Reassigns benefits to 2 organizations

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 Hospital, Lafayette, IN, CCN 150109
  • Franciscan Health Crawfordsville Hospital, Crawfordsville, IN, CCN 150022

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01038246AINMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Dec 1, 2024 Accepting new patients
Lafayette Otolaryngology Associates, Inc Otolaryngology CurrentSince Jan 1, 2004 Accepting new patients
Franciscan Physician Network CurrentSince Dec 1, 2024 Accepting new patients
Sagamore Surgical Services, Inc. PastSince May 27, 1993 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

  • Direct secure messaging: phillsamer107078@direct.franciscanalliance.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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

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

Verify at the official NPI Registry.