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DR. PETER JOHN MARGULIS M.D.
NPI 1063544450
Psychiatry & Neurology - Psychiatry in Buffalo, NY

Active since March 12, 2007PECOS EnrolledAccepts Medicare Assignment
30 CRESCENT AVE, BUFFALO, NY 14214(716) 939-2614(716) 939-2597 Get Directions Write a Review

NPPES record last updated: January 21, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Peter John Margulis M.d. NPPES

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

DR. PETER JOHN MARGULIS M.D. (NPI 1063544450) is an individual psychiatry provider in Buffalo, New York, licensed in Indiana (01038374) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (1986).

NPPES Registry Identity

NPI1063544450
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PETER JOHN MARGULISCredential: M.D.
Location Address30 CRESCENT AVEBuffalo, NY 14214-2603
Mailing Address30 Crescent AveBuffalo, NY 14214-2603 · (716) 939-2614 · Fax (716) 939-2597
Phone(716) 939-2614
Fax(716) 939-2597
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1986
Enumeration DateMarch 12, 2007
Last NPPES UpdateJanuary 21, 2010
✔ NPI 1063544450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in IN · 01038374✔ Licensed in NY · 172155-1
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
30 CRESCENT AVE, Buffalo, NY 14214
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Other Identifiers 2

Medicaid100148310IN
Medicare UPINE61408IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Peter John Margulis M.d. 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 ID1850383365
PECOS Enrollment IDI20100212000054
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Peter Margulis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bestself Behavioral Health, Inc.
2.8 mi
Mental Health (Including Community Mental Health Center)
951 NIAGARA ST, LOWER WEST SIDE COUNSELING
Buffalo, NY 14213
  • Reassigned Medicare billing, New York enrollment
  • 119 clinicians in this Medicare group
NPI 1023230695 (716) 842-0440
Mid Erie Mental Health Services Inc
3.9 mi
Counselor
1526 WALDEN AVE, STE 400
Cheektowaga, NY 14225
  • Reassigned Medicare billing, New York enrollment
  • 82 clinicians in this Medicare group
NPI 1225095201 (716) 895-7167
Tanvir Shagar Np In Family Health PLLC
7.1 mi
Psychiatric/Mental Health
273 RIDGE RD STE 1
Buffalo, NY 14218
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
NPI 1871160515 (716) 929-6888
Mending Hearts Counseling Inc.
307 mi
Mental Health (Including Community Mental Health Center)
1975 LINDEN BLVD
Elmont, NY 11003
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1235951674 (516) 751-4020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14214 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Margulis's NPI number?

The NPI number for Peter Margulis is 1063544450. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Peter Margulis located?

Peter Margulis practices at 30 Crescent Ave, Buffalo, NY 14214. The listed phone number is (716) 939-2614.

What is Peter Margulis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Peter Margulis enrolled in Medicare?

Yes. Peter Margulis 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.

Which organizations bill Medicare for Peter Margulis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Margulis reassigns Medicare benefits to 4 organizations: Bestself Behavioral Health, Inc. (Buffalo, NY), Mid Erie Mental Health Services Inc (Cheektowaga, NY), Tanvir Shagar Np In Family Health PLLC (Buffalo, NY) and Mending Hearts Counseling Inc. (Elmont, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Margulis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Margulis was last updated on January 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.