Active NPI
Geoffrey Michael Peters, MD
- Otolaryngology Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 202772
- Practice address
- 8080 Bluebonnet Blvd
Suite 2121
Baton Rouge, LA 70810 - Phone
- (228) 767-7200
- Fax
- (225) 767-7386
- NPI assigned
- Aug 14, 2007
- 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 | PGY.LSUN.OTOLAR | LA | |
| Otolaryngology Physician | 207Y00000X | 202772 | LA | Primary |
Addresses
Primary practice location
8080 Bluebonnet Blvd
Suite 2121
Baton Rouge, LA 70810
Mailing address
604 N Acadia Rd Ste 101
Thibodaux, LA 70301-4897
Phone (985) 446-5079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035360 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120530000007 | LA | Practitioner - Otolaryngology | 9638332786 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Louisiana State University School of Medicine in New Orleans, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Louisiana Ear, Nose, and Throat Specialists, Inc.
Practice addresses (Care Compare)
8080 Bluebonnet Blvd
Suite 2222
Baton Rouge, LA 70810-7828
Phone (225) 769-2222
Hospital & facility affiliations
- Our Lady of the Lake Regional Medical Center
- Surgical Specialty Center of Baton Rouge
Merit-based Incentive Payment System (MIPS)
- Final score
- 60.95 of 100
- Quality
- 35.55
- Promoting interoperability
- 88
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202772 | LA | MD | Otolaryngology Physician |
| PGY.LSUN.OTOLAR | LA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Ear, Nose, & Throat Specialists, Inc. | Otolaryngology | Current | Accepting new patients |
| Louisiana Ear, Nose, Throat & Sinus, LLC | Otolaryngology | Current | Accepting new patients |
| Fyzical of Baton Rouge, LLC | Past | Accepting new patients |
Locations
8080 Bluebonnet Blvd
Ste 2121
Baton Rouge, LA 70810
Phone (225) 408-6734
8080 Bluebonnet Blvd
Ste 2222
Baton Rouge, LA 70810
Phone (225) 408-6900
604 N Acadia Rd
Ste 101
Thibodaux, LA 70301
Phone (985) 446-5079
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Thibodaux, LA
- NPI 1083713101
LA, Otolaryngology
-
- Otolaryngology Physician
- Baton Rouge, LA
- NPI 1114483872
LA, Otolaryngology
-
- Physical Therapist
- Baton Rouge, LA
- NPI 1255994539
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
Hospital
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1588631311
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1457543399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 N ACADIA RD STE 101",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014897",
"telephone_number": "985-446-5079",
"fax_number": "985-447-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8080 BLUEBONNET BLVD",
"address_2": "SUITE 2121",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70810",
"telephone_number": "228-767-7200",
"fax_number": "225-767-7386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "GEOFFREY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "LA",
"license": "PGY.LSUN.OTOLAR",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "LA",
"license": "202772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1035360",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.