Individual provider Active NPI

Peter Vaccaro

  • Internal Medicine Physician
  • Bradford, PA
National Provider Identifier
1942262563
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD050997L Issued in PA
Practice address
195 Pleasant St Unit 3
Bradford, PA 16701-1081
Phone
(814) 228-0400
NPI assigned
Apr 6, 2006
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD050997L PA Primary

Addresses

Primary practice location

195 Pleasant St Unit 3
Bradford, PA 16701-1081

Mailing address

195 Pleasant St Unit 3
Bradford, PA 16701-1081
Phone (814) 228-0400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jvaccaro@osmhealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101025000032 PA Practitioner - Internal Medicine 5395742332 Practice locations: Bradford, PA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Peter Vaccaro MD Osm Internal Medicine CurrentSince Mar 11, 2025 Accepting new patients
Dr Peter Vaccaro MD Osm Internal Medicine PastSince Nov 7, 2025 Accepting new patients
Bradford Regional Medical Services Internal Medicine PastSince Aug 1, 2026 Accepting new patients

Locations

195 Pleasant St
Unit 3
Bradford, PA 16701
Phone (814) 228-0400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1942262563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 PLEASANT ST UNIT 3",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011081",
            "telephone_number": "814-228-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 PLEASANT ST UNIT 3",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011081",
            "telephone_number": "814-228-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCARO",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD050997L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvaccaro@osmhealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "55 Lakeside Dr",
            "city": "Bradford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "167012477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

Verify at the official NPI Registry.