Individual provider Active NPI

Peter Emmett Hurley, M.D., M.S.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Williamsville, NY
National Provider Identifier
1770747008
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
242642 Issued in NY
Practice address
5800 Main St
Williamsville, NY 14221-8220
Phone
(716) 932-7670
Fax
(716) 276-9711
NPI assigned
Jul 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 242642 NY
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 242642 NY Primary

Addresses

Primary practice location

5800 Main St
Williamsville, NY 14221-8220

Mailing address

5800 Main St
Williamsville, NY 14221-8220
Phone (716) 932-7670

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address PHurley@direct.KaleidaHealth.org Kaleida Health
Direct Messaging Address p.hurley.1@10579.direct.athenahealth.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110714000176 NY Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 3173674710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
State University of New York at Buffalo School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5800 Main St
Williamsville, NY 14221-8220
Phone (716) 932-7670

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242642NYMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oculofacial Plastic Surgery of Wny PLLC Ophthalmology CurrentSince Apr 1, 2014 Accepting new patients
Kaleida Health CurrentSince Apr 1, 2014 Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

945 Sweet Home Rd
Buffalo, NY 14226
Phone (716) 831-9435

5800 Main St
Williamsville, NY 14221
Phone (716) 831-9435

Interoperability endpoints

  • Direct secure messaging: phurley@direct.kaleidahealth.org
  • FHIR API: https://api.platform.athenahealth.com/10579/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1770747008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218220",
            "telephone_number": "716-932-7670",
            "fax_number": "716-276-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218220",
            "telephone_number": "716-932-7670",
            "fax_number": "716-276-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "PETER",
        "middle_name": "EMMETT",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "242642",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "242642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PHurley@direct.KaleidaHealth.org",
            "affiliation": "Y",
            "affiliationName": "Kaleida Health",
            "address_1": "100 High St",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142031126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "p.hurley.1@10579.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "5800 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142218220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.