DR. PETER WESTERVELT MD
NPI 1043292246
Internal Medicine - Medical Oncology in Brunswick, ME

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
329 MAINE ST, BRUNSWICK, ME 04011(207) 373-2266(314) 454-5902 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2023, Dec 9, 2022, Nov 15, 2021 and 1 more (4 updates tracked since 2016).

About Dr. Peter Westervelt Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETER WESTERVELT MD (NPI 1043292246) is an individual medical oncology provider in Brunswick, Maine, licensed in Maine (MD27026) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Washington University School Of Medicine (1992).

NPPES Registry Identity

NPI1043292246
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. PETER WESTERVELTCredential: MD
Location Address329 MAINE STBrunswick, ME 04011-3310
Mailing Address329 Maine StBrunswick, ME 04011-3310 · (207) 373-2266 · Fax (314) 454-5902
Fax(314) 454-5902
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1992
Enumeration DateNovember 15, 2005
Last NPPES UpdateNovember 28, 20234 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
NPI 1043292246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses Licensed in ME · MD27026 Licensed in MO · 2006008771 Licensed in MA · 211561
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
329 MAINE ST, Brunswick, ME 04011

Other Identifiers 1

Medicaid209744622MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Peter Westervelt Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294732665
PECOS Enrollment IDI20231003001971, I20231214000533
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
223 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
61 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services18 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers15 claims15 services$17.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physiological Laboratory
329 MAINE ST
BRUNSWICK, ME 04011
Social Worker (Clinical)
329 MAINE ST
BRUNSWICK, ME 04011
Internal Medicine
329 MAINE ST, SUITE D
BRUNSWICK, ME 04011
Physical Therapist
329 MAINE ST
BRUNSWICK, ME 04011
Pharmacist
329 MAINE ST
BRUNSWICK, ME 04011
Internal Medicine
329 MAINE ST, SUITE D
BRUNSWICK, ME 04011
Radiology (Diagnostic Radiology)
329 MAINE ST
BRUNSWICK, ME 04011
Registered Nurse (Registered Nurse First Assistant)
329 MAINE ST
BRUNSWICK, ME 04011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Westervelt's NPI number?

The NPI number for Peter Westervelt is 1043292246. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Peter Westervelt located?

Peter Westervelt practices at 329 Maine St, Brunswick, ME 04011. The listed phone number is (207) 373-2266.

What is Peter Westervelt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Peter Westervelt enrolled in Medicare?

Yes. Peter Westervelt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Peter Westervelt accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Peter Westervelt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Peter Westervelt affiliated with any hospitals?

According to CMS data, Peter Westervelt is affiliated with Memorial Hospital, Maine Medical Center, Mid Coast Hospital, Massachusetts General Hospital and Barnes Jewish Hospital.

When was this NPI record last updated?

The NPPES record for Peter Westervelt was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.