Individual provider Active NPI

Peter M Loescher, M.D.

  • Family Medicine Physician
  • Sharon, VT
National Provider Identifier
1528063401
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042-0010473 Issued in VT
Practice address
12 Shippee Lane
Sharon, VT 05065-0219
Phone
(802) 763-8000
Fax
(802) 763-8090
NPI assigned
Jun 16, 2005
Last updated
Jun 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042-0010473 VT Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 042-0010473 VT

Addresses

Primary practice location

12 Shippee Lane
Sharon, VT 05065-0219

Mailing address

12 Shippee Lane
Sharon Health Center
Sharon, VT 05065-0219
Phone (802) 763-8000

Other identifiers 3

IdentifierTypeStateIssuer
VN299401OtherVTMEDICARE PTAN
8000077MedicaidVT
1009155MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041230000555 VT Practitioner - Sports MedicinePractitioner - Family Practice 0042282246 Reassigns benefits to 1 organization
I20200130001622 NH Practitioner - Sports Medicine 0042282246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
University of Massachusetts Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alice Peck Day Memorial HospitalGroup PAC ID 6103737531, 132 clinicians

Practice addresses (Care Compare)

10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-3121

5 Alice Peck Day Dr
Lebanon, NH 03766-2901
Phone (603) 448-3122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0010473VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Peck Day Memorial Hospital Family Medicine CurrentSince Mar 2, 2022 Accepting new patients
Alice Peck Day Memorial Hospital Family Medicine Current Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Mar 2, 2022 Accepting new patients

Locations

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

5 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-3996

Interoperability endpoints

  • FHIR API: https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: ploescher22296@direct.dartmouth-hitchcock.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alice Peck Day Memorial HospitalLebanon, NH, CCN 30Z305 Hospital Corporate Officer Jan 1, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1528063401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SHIPPEE LANE",
            "address_2": "SHARON HEALTH CENTER",
            "city": "SHARON",
            "state": "VT",
            "postal_code": "050650219",
            "telephone_number": "802-763-8000",
            "fax_number": "802-763-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SHIPPEE LANE",
            "city": "SHARON",
            "state": "VT",
            "postal_code": "050650219",
            "telephone_number": "802-763-8000",
            "fax_number": "802-763-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOESCHER",
        "first_name": "PETER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042-0010473",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "VT",
            "license": "042-0010473",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "VN299401",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000077",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009155",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, VT

Sources for this page

Verify at the official NPI Registry.