Individual provider Active NPI

Jerome Albert Peters, M.D.

  • Ophthalmology Physician
  • Greensburg, PA
National Provider Identifier
1467438366
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD025418E Issued in PA
Practice address
330 W Pittsburgh St
Greensburg, PA 15601-2235
Phone
(724) 832-7800
Fax
(724) 832-8333
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD025418E PA Primary

Addresses

Primary practice location

330 W Pittsburgh St
Greensburg, PA 15601-2235

Mailing address

4968 Cline Hollow Rd
Export, PA 15632-9246
Phone (724) 387-1252

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
I20120312000490 PA Practitioner - Ophthalmology 7810904349 Practice locations: Greensburg, PA; Mount Pleasant, PA; Latrobe, PA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Pittsburgh School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Lloyd Ave
Latrobe, PA 15650-1710
Phone (724) 539-3800

330 W Pittsburgh St
Greensburg, PA 15601-2235
Phone (724) 832-7800

802 W Main St
Mount Pleasant, PA 15666-1730
Phone (724) 547-2800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surgicenter Associates, Inc PastSince Mar 8, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jpeters@direct.excelahealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1467438366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4968 CLINE HOLLOW RD",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156329246",
            "telephone_number": "724-387-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W PITTSBURGH ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012235",
            "telephone_number": "724-832-7800",
            "fax_number": "724-832-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JEROME",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD025418E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.