Marten B Peterson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

308195 Issued in NY

Practice address

3 Irongate Center
Glens Falls, NY 12801-3473

Phone

(518) 793-4409

Fax

(518) 615-0148

NPI assigned

Mar 26, 2019

Last updated

Sep 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Family Practice

Education

State University of Ny Upstate Medical University, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Irongate Family Practice Associates PLLCGroup PAC ID 4981602307, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eddy Visiting Nurse & Rehab Association Home health agency, Troy, NY, CCN 337203
• High Peaks Hospice and Palliative Care, Inc Hospice, Hudson Falls, NY, CCN 331531
• Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
• Elizabethtown Community Hospital Hospital, Elizabethtown, NY, CCN 331302

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpeterson@irongatefamilypractice.medentdirect.com

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.

• Irongate Family Practice Associates PLLC

  • Family Medicine Physician
  • Glens Falls, NY
  • NPI 1851326326
  Medicare reassignment Care Compare group NPD

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

• Elizabethtown Community Hospital

  dba Elizabethtown Community Hospital Transport

  • Ambulance
  • Elizabethtown, NY
  • NPI 1487923637

  Hospital

  Care Compare affiliation
• Elizabethtown Community Hospital

  • Critical Access Hospital
  • Elizabethtown, NY
  • NPI 1891785184
  Care Compare affiliation
• Glens Falls Hospital Inc

  • General Acute Care Hospital
  • Glens Falls, NY
  • NPI 1871606764
  Care Compare affiliation
• High Peaks Hospice and Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Hudson Falls, NY
  • NPI 1750442513
  Care Compare affiliation
• Home Aide Service of Eastern New York, Inc.

  dba Eddy Visiting Nurse Association

  • Home Health Agency
  • Troy, NY
  • NPI 1114967924
  Care Compare affiliation

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1770044471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 IRONGATE CTR STE 2",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013473",
            "telephone_number": "518-793-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 IRONGATE CENTER",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013473",
            "telephone_number": "518-793-4409",
            "fax_number": "518-615-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MARTEN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "308195",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "308195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Perkins, CASAC 22175
• James A Perrigo, MED CAS LMHC NCC
• Dale C Perry
• Mary A Perry, PT
• Peter M Hughes, MD
• Anthony Petracca Jr., M.D.
• Martha S Philion, N.P.
• Kimberlee Phillips, COTA
• Eric Anthony Pillemer, M.D., PH.D.
• Sara Pipino, DPT

• Family Medicine Physician in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.

Verify at the official NPI Registry.