CAROLYN MAE PETERSEIM
NPI 1104494590
Family Medicine in Allentown, PA

Q: What is Carolyn Peterseim's NPI number?

The NPI number for Carolyn Peterseim is 1104494590. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Q: What is Carolyn Peterseim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Peterseim was last updated on August 30, 2024. 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.

Active since June 14, 2021PECOS EnrolledAccepts Medicare Assignment

3080 HAMILTON BLVD STE 250, ALLENTOWN, PA 18103(610) 437-0739 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 10, 2023, Jul 1, 2021, Jun 14, 2021 (3 updates tracked since 2021).

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About Carolyn Mae Peterseim NPPES

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

CAROLYN MAE PETERSEIM (NPI 1104494590) is an individual family medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD485063) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and maintains a secondary practice location in Allentown.

NPPES Registry Identity

NPI1104494590

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameCAROLYN MAE PETERSEIM

Location Address3080 HAMILTON BLVD STE 250Allentown, PA 18103-3694

Mailing Address707 Hamilton St Fl 8Allentown, PA 18101-2407 · (484) 862-3001

Phone(610) 437-0739

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2021

Enumeration DateJune 14, 2021

Last NPPES UpdateAugust 30, 20243 updates tracked since enumeration

NPPES CertifiedAugust 30, 2024

✔ NPI 1104494590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in PA · MD485063✔ Licensed in PA · MT223953

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3080 HAMILTON BLVD STE 250, Allentown, PA 18103

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Secondary Practice Location 1

Location 11648 S 4th StAllentown, PA 18103-4922 · Phone (610) 674-4550 · Fax (610) 674-4554

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

Carolyn Mae Peterseim 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 ID345625513

PECOS Enrollment IDI20240924001451

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 Reassignment

Medicare enrollment records show Carolyn Peterseim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lehigh Valley Physician Group

Same address

Internal Medicine

3080 HAMILTON BLVD, SUITE 350
Allentown, PA 18103

Reassigned Medicare billing, Pennsylvania enrollment
2,895 clinicians in this Medicare group

NPI 1114001401 (484) 661-4650

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

Areas of Expertise CMS Part B claims 5

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.

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.

38 services34 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services17 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

15 services15 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

15 services15 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390133

Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Other Providers at the Same Location NPPES 8

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

KRISTIN LEE TORRES CRNP, CDCES, CPNP-PC

Nurse Practitioner (Pediatrics)