Active NPI
Mary C Gessner-Peterson, DO
- Emergency Medical Services (Emergency Medicine) Physician
- Alpine, CA
National Provider Identifier
1861662884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- OS014103
- Practice address
- 2710 Alpine Blvd # 205
Alpine, CA 91901-2276 - Phone
- (619) 326-4445
- NPI assigned
- Mar 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A1174 | CA | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | OS014103 | PA | Primary |
Addresses
Primary practice location
2710 Alpine Blvd # 205
Alpine, CA 91901-2276
Mailing address
2710 Alpine Blvd
Alpine, CA 91901-2276
Phone (619) 326-4445
Other practice location 1
1730 Alpine Blvd Ste 109B
Alpine, CA 91901-3877
Phone (619) 326-4445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 825521721 | Other | CA | URGENT CARE TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110607000169 | CA | Practitioner - Internal Medicine | 9638200033 | Reassigns benefits to 4 organizations |
| I20200103002441 | UT | Practitioner - Internal Medicine | 9638200033 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1832 Alpine Blvd
Suite B
Alpine, CA 91901-2107
Phone (978) 994-1766
Hospital & facility affiliations
- Good Samaritan Home Health Inc
- Mission Home Health of San Diego LLC
- Saint Francis Healthcare Inc
- Health Shield Home Health Services
- Vital Care Health Systems
- Mission Hospice Services of San Diego LLC
- Comfort and Peace Hospice
- Advantage Health Systems
- Apreva Hospice
- Alternative Hospice Care Inc.
- Grossmont Hospital
- Sharp Memorial Hospital
- Sharp Chula Vista Medical Center
- San Diego Post-Acute Center
- Bella Vista Health Center
- Country Hills Post Acute
- The Shores Post-Acute
- Stillwater Post-Acute
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.89 of 100
- Quality
- 55.99
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 33.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A1174 | CA | MD | Internal Medicine Physician |
| 11744 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gessner Peterson House Calls Inc | Emergency Medical Services | Current | Accepting new patients |
| Alvarado Emergency Medical Associates, Inc. | Current | Accepting new patients | |
| Team Physicians of Northern California Medical Group Inc | Current | Accepting new patients | |
| Mary Gessner-Peterson Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Grossmont Hospital Corporation | Past | Accepting new patients |
Locations
1730 Alpine Blvd
Ste 205
Alpine, CA 91901
Phone (619) 326-4445
1832 Alpine Blvd
Ste B
Alpine, CA 91901
Phone (619) 326-4445
1730 Alpine Blvd
Ste 109B
Alpine, CA 91901
Phone (619) 326-4445
2710 Alpine Blvd
#434
Alpine, CA 91901
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
41 E 400 N
Logan, UT 84321
Phone (435) 640-6290
2938 S Redwood Rd
West Valley City, UT 84119
Phone (801) 978-2424
Interoperability endpoints
- mary.gessner.1@12903.direct.athenahealth.com
- https://api.platform.athenahealth.com/12903/brand/1/csg/1/fhir/r4
- mary.gessner.2@12903.direct.athenahealth.com
- mgessner33831@sharphealthcare.direct-ci.com
- mary.gessner-peterson.1@12903.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Alpine, CA
- NPI 1467709220
CA, Internal Medicine
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1285811992
CA
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1649692716
CA
-
- Internal Medicine Physician
- Logan, UT
- NPI 1982246047
Emergency Medical Services
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- San Marcos, CA
- NPI 1861097388
Hospice
-
- Home Health Agency
- National City, CA
- NPI 1669082350
-
- Home Health Agency
- San Diego, CA
- NPI 1205310687
-
- Home Health Agency
- San Diego, CA
- NPI 1063726628
-
- Community Based Hospice Care Agency
- San Diego, CA
- NPI 1245521269
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1861662884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 ALPINE BLVD",
"city": "ALPINE",
"state": "CA",
"postal_code": "919012276",
"telephone_number": "619-326-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 ALPINE BLVD # 205",
"city": "ALPINE",
"state": "CA",
"postal_code": "919012276",
"telephone_number": "619-326-4445"
}
],
"practiceLocations": [
{
"address_1": "1730 Alpine Blvd Ste 109B",
"address_purpose": "LOCATION",
"city": "Alpine",
"state": "CA",
"postal_code": "919013877",
"country_code": "US",
"telephone_number": "619-326-4445",
"fax_number": "619-722-1721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GESSNER-PETERSON",
"first_name": "MARY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A1174",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "PA",
"license": "OS014103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "URGENT CARE TAX ID",
"identifier": "825521721",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alpine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.