Individual provider Active NPI

Peggy O Hunter, MD

  • Dermatology Physician
  • Lake Worth, FL
National Provider Identifier
1962477463
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1962477463 Issued in FL
Practice address
3918 Via Poinciana Ste 10
Lake Worth, FL 33467-2991
Phone
(561) 440-7546
Fax
(561) 754-7440
NPI assigned
Feb 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 1962477463 FL Primary

Addresses

Primary practice location

3918 Via Poinciana Ste 10
Lake Worth, FL 33467-2991

Mailing address

4475 Medical Center Way Ste 1
West Palm Beach, FL 33407-3240
Phone (561) 840-0995

Other identifiers 1

IdentifierTypeStateIssuer
ME100128OtherFLDERMATOLOGY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://palmbeachskin.com Health Information Exchange (HIE) PBD&P INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081119000823 FL Practitioner - Dermatology 8820025851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Hahnemann University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach DermatologyGroup PAC ID 6709864218, 19 clinicians

Practice addresses (Care Compare)

3918 Via Poinciana
Suite 10
Lake Worth, FL 33467-2991
Phone (561) 440-7546

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of skin lesions3181
Removal or shaving of skin growth1-10
Skin biopsy2508

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1962477463FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PBD&P Inc Dermatology CurrentSince Apr 8, 2019 Accepting new patients
Macaione & Papa Dermatology Associates, PA Past Accepting new patients

Locations

3918 Via Poinciana
Ste 10
Lake Worth, FL 33467
Phone (561) 439-8858

701 Northpoint Pkwy
Ste 300
West Palm Beach, FL 33407
Phone (561) 440-7546

4475 Medical Center Way
Ste 1
West Palm Beach, FL 33407

Interoperability endpoints

  • FHIR API: https://pbd.mmi.prod.fhir.ema-api.com/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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1962477463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 MEDICAL CENTER WAY STE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073240",
            "telephone_number": "561-840-0995",
            "fax_number": "561-840-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 VIA POINCIANA STE 10",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672991",
            "telephone_number": "561-440-7546",
            "fax_number": "561-754-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "PEGGY",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "1962477463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DERMATOLOGY",
            "identifier": "ME100128",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://palmbeachskin.com",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "PBD&P INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3918 Via Poinciana Ste 10",
            "city": "Lake Worth",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334672991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.