CORY GRANT PETERS PA
NPI 1144395708
Physician Assistant - Surgical in Jacksonville, FL

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
84.3/100
CMS Quality Rating
10475 CENTURION PKWY N, SUITE 220, JACKSONVILLE, FL 32256(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 26, 2024, Nov 8, 2023, May 15, 2018 (3 updates tracked since 2018).

About Cory Grant Peters Pa NPPES

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

CORY GRANT PETERS PA (NPI 1144395708) is an individual surgical provider in Jacksonville, Florida, licensed in Florida (PA9106781) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1144395708
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCORY GRANT PETERSCredential: PA
Location Address10475 CENTURION PKWY N, SUITE 220Jacksonville, FL 32256
Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203 · (904) 634-0640 · Fax (904) 634-0203
Fax(904) 634-0203
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 21, 2006
Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
NPI 1144395708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9106781
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9106781 (FL)
10475 CENTURION PKWY N, Jacksonville, FL 32256

Secondary Practice Locations 9

Location 12 Shircliff Way Ste 605Jacksonville, FL 32204-4762 · Phone (904) 634-0640
Location 2232 Ponte Vedra Park DrPonte Vedra Beach, FL 32082-6600 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 31690 US Highway 1 S Ste FSt Augustine, FL 32084-6024 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 4216 Southpark Cir E Ste 216St Augustine, FL 32086-5135 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 54565 US Highway 17 Ste 200Fleming Island, FL 32003-4823 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 62627 Riverside Ave Ste 300Jacksonville, FL 32204-4717 · Phone (904) 634-0640 · Fax (907) 634-0203
Location 715255 Max Legget Pkwy Ste 5300Jacksonville, FL 32218-7274 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 83055 County Road 210 W Ste 110St Johns, FL 32259-7001 · Phone (904) 634-0640
Location 94500 San Pablo Rd SJacksonville, FL 32224-1865 · Phone (904) 953-2000

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

Cory Grant Peters Pa 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 ID1759530546
PECOS Enrollment IDI20121011000685
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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
4,841 services310 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
888 services283 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
252 services71 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.
187 services155 patients
Aspiration and/or injection of fluid from medium joint 20605
This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.
146 services76 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
48 services40 patients

Hospital Affiliations CMS Care Compare

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

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100151
Location4500 San Pablo RdJacksonville, FL 32224 · Duval County
Emergency services

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.

84.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.68
Promoting Interoperability100
Improvement Activities40
Cost60.99

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.

Physical Therapist
10475 CENTURION PKWY N, SUITE 220
JACKSONVILLE, FL 32256
Technician, Other
10475 CENTURION PKWY N
JACKSONVILLE, FL 32256
Pediatrics
10475 CENTURION PKWY N
JACKSONVILLE, FL 32256
Clinic/Center (Ambulatory Surgical)
10475 CENTURION PKWY N
JACKSONVILLE, FL 32256
Otolaryngology (Pediatric Otolaryngology)
10475 CENTURION PKWY N, SUITE 302
JACKSONVILLE, FL 32256
Physician Assistant (Surgical)
10475 CENTURION PKWY N, SUITE 220
JACKSONVILLE, FL 32256
Otolaryngology (Pediatric Otolaryngology)
10475 CENTURION PKWY N, SUITE 302
JACKSONVILLE, FL 32256
Audiologist
10475 CENTURION PKWY N, SUITE 303
JACKSONVILLE, FL 32256

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 Cory Peters's NPI number?

The NPI number for Cory Peters is 1144395708. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Cory Peters located?

Cory Peters practices at 10475 Centurion Pkwy N Suite 220, Jacksonville, FL 32256. The listed phone number is (904) 634-0640.

What is Cory Peters's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Cory Peters enrolled in Medicare?

Yes. Cory Peters 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 Cory Peters accept?

Health plans from AvMed list Cory Peters 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 Cory Peters affiliated with any hospitals?

According to CMS data, Cory Peters is affiliated with Mayo Clinic.

When was this NPI record last updated?

The NPPES record for Cory Peters was last updated on September 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.