Active NPI
Paul Gregory Peters, MD
- Orthopaedic Surgery Physician
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35.094078
- Practice address
- 2587 Commons Blvd
Suite 110
Beavercreek, OH 45431-3841 - Phone
- (937) 836-3118
- Fax
- (937) 832-5588
- NPI assigned
- Mar 15, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | D0069815 | MD | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 35.094078 | OH | |
| Orthopaedic Surgery Physician | 207X00000X | 35.094078 | OH | Primary |
Addresses
Primary practice location
2587 Commons Blvd
Suite 110
Beavercreek, OH 45431-3841
Mailing address
2587 Commons Blvd
Suite 110
Beavercreek, OH 45431-3841
Phone (937) 836-3118
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ppeters471390@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Wayne State University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2587 Commons Blvd
Suite 110
Beavercreek, OH 45431-3841
Phone (937) 424-5825
3535 Pentagon Blvd
Beavercreek, OH 45431-1705
3535 Pentagon Park Blvd
Suite 400
Dayton, OH 45431-1705
Phone (937) 490-2264
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
Hospital & facility affiliations
- Kettering Homecare
- Hope Home Care LLC
- Kettering Health Main Campus
- Soin Medical Center
- Kettering Health Dayton
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.094078 | OH | MD | Orthopaedic Surgery Physician |
| D0069815 | MD | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
Locations
2587 Commons Blvd
Ste 110
Beavercreek, OH 45431
Phone (937) 424-5825
3359 Kemp Rd
Ste 210
Beavercreek, OH 45431
Phone (937) 424-5825
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kettering, OH
- NPI 1639195332
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- Home Health Agency
- Dayton, OH
- NPI 1902170764
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1689708596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2587 COMMONS BLVD",
"address_2": "SUITE 110",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454313841",
"telephone_number": "937-836-3118",
"fax_number": "937-832-5588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2587 COMMONS BLVD",
"address_2": "SUITE 110",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454313841",
"telephone_number": "937-836-3118",
"fax_number": "937-832-5588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "PAUL",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "MD",
"license": "D0069815",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "OH",
"license": "35.094078",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35.094078",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ppeters471390@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "2587 Commons Blvd",
"address_2": "Suite 110",
"city": "Beavercreek",
"state": "OH",
"country_code": "US",
"postal_code": "454313841",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "2587 Commons Blvd",
"address_2": "Suite 110",
"city": "Beavercreek",
"state": "OH",
"country_code": "US",
"postal_code": "454313841",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.