Individual provider Active NPI

Peter R. Pless, M.D.

  • Dermatology Physician
  • Meadville, PA
National Provider Identifier
1376546705
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD043713E Issued in PA
Practice address
505 Poplar St
Meadville, PA 16335-3057
Phone
(814) 333-5875
Fax
(814) 333-5893
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD043713E PA Primary

Addresses

Primary practice location

505 Poplar St
Meadville, PA 16335-3057

Mailing address

505 Poplar St
Meadville, PA 16335-3057
Phone (814) 333-5875

Other identifiers 8

IdentifierTypeStateIssuer
205031OtherPAUPMC HEALTH PLAN
251754199019OtherPAMEDICAL MUTUAL OF OHIO
6371345OtherPACIGNA
902561OtherPAHIGHMARK BLUE CROSS SHIELD
E15023OtherPAHEALTH AMERICA
4235190002OtherPANATIONAL SUPPLIERS CLEARINGHOUSE
0011630920001MedicaidPA
070008157OtherPAPALMETTO GBA-RAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peterplessmd@npa.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100311000841 PA Practitioner - Dermatology 0648335059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Physicians Associates, P.C.Group PAC ID 3375457799, 6 clinicians

Practice addresses (Care Compare)

505 Poplar St
Suite 306
Meadville, PA 16335-3083
Phone (814) 333-5875

Hospital & facility affiliations

  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113
  • Titusville Area Hospital Hospital, Titusville, PA, CCN 391314

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions652
Removal or shaving of skin growth34
Skin biopsy486

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians Associates, P.C. CurrentSince Jun 27, 1989 Accepting new patients
Northwest Physicians Associates PC Dermatology CurrentSince Jun 27, 1989 Accepting new patients

Locations

505 Poplar St
Ste 306
Meadville, PA 16335
Phone (814) 333-5875

1012 Water St
Meadville, PA 16335
Phone (814) 333-2001

505 Poplar St
Meadville, PA 16335
Phone (814) 333-5875

Interoperability endpoints

  • Direct secure messaging: peterplessmd@npa.allscriptsdirect.net

Organizations & group practices 2

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 2

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1376546705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 POPLAR ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353057",
            "telephone_number": "814-333-5875",
            "fax_number": "814-333-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 POPLAR ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353057",
            "telephone_number": "814-333-5875",
            "fax_number": "814-333-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLESS",
        "first_name": "PETER",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD043713E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "205031",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "251754199019",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6371345",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS SHIELD",
            "identifier": "902561",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "E15023",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL SUPPLIERS CLEARINGHOUSE",
            "identifier": "4235190002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011630920001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD MEDICARE",
            "identifier": "070008157",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peterplessmd@npa.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Dr. Pless Direct Address Allscripts Pro EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "505 Poplar St",
            "city": "Meadville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163353057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.