PETER FORMUSOH
NPI 1114559325
Nurse Practitioner - Family in Houston, TX

Q: What is Peter Formusoh's NPI number?

The NPI number for Peter Formusoh is 1114559325. It was assigned to this individual provider in the NPPES registry on February 5, 2020.

Q: What is Peter Formusoh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Formusoh was last updated on October 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 05, 2020PECOS EnrolledAccepts Medicare Assignment

4635 SOUTHWEST FWY STE 635, HOUSTON, TX 77027(713) 850-0049(713) 627-7302 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 28, 2020, Jun 15, 2020, Feb 5, 2020 (3 updates tracked since 2020).

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About Peter Formusoh NPPES

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

PETER FORMUSOH (NPI 1114559325) is an individual family provider in Houston, Texas, licensed in Texas (AP140067) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114559325

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NamePETER FORMUSOH

Location Address4635 SOUTHWEST FWY STE 635Houston, TX 77027-7112

Mailing Address4635 Southwest Fwy Ste 635Houston, TX 77027-7112 · (713) 850-0049 · Fax (713) 627-7302

Phone(713) 850-0049

Fax(713) 627-7302

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 5, 2020

Last NPPES UpdateOctober 28, 20203 updates tracked since enumeration

NPPES CertifiedOctober 28, 2020

✔ NPI 1114559325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP140067

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AP140067 (TX)

4635 SOUTHWEST FWY STE 635, Houston, TX 77027

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Peter Formusoh 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 ID3476463829

PECOS Enrollment IDI20200226001840

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 6

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

1,231 services181 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.

816 services131 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

361 services80 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

47 services47 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Psychotherapy with evaluation and management visit, 45 minutes 90836

Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.

16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77027 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

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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.

MS. LORI L DOWNS LPC

Counselor (Professional)