PETER SU MD
NPI 1184664146
Family Medicine in Gambrills, MD

Active since June 07, 2006PECOS Enrolled
1438 DEFENSE HIGHWAY, SUITE 201, GAMBRILLS, MD 21054(410) 721-3200(410) 721-2680 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peter Su Md NPPES

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

PETER SU MD (NPI 1184664146) is an individual family medicine provider in Gambrills, Maryland, licensed in Maryland (D0056977) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184664146
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePETER SUCredential: MD
Location Address1438 DEFENSE HIGHWAY, SUITE 201Gambrills, MD 21054
Mailing Address1438 Defense Highway, Suite 201Gambrills, MD 21054 · (410) 721-3200 · Fax (410) 721-2680
Fax(410) 721-2680
Sole ProprietorYes
Enumeration DateJune 7, 2006
Last NPPES UpdateMarch 20, 2019
NPI 1184664146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MD · D0056977
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.
1438 DEFENSE HIGHWAY, Gambrills, MD 21054

Other Identifiers 14

Other1S80PBlue Cross Blue Shield
Other4301934Cigna
OtherF1880001Carefirst
Other223342Mamsi
Other165131Coventry Health
Other223342Alliance
Medicaid407048800MD
Other558223Informed
Other7120279Aetna
OtherF1880001Blue Choice
OtherP15312Bcbs Mpos
OtherF1880001Bcbs Federal
Other13564Johns Hopkins Hlth Care
Other407044800Medical Assistance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Peter Su Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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 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.
232 services187 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.
37 services33 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21054 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier11 claims44 services$5.01 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 3

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

Family Medicine
1438 DEFENSE HIGHWAY, SUITE 201
GAMBRILLS, MD 21054
Family Medicine
1438 DEFENSE HIGHWAY, SUITE 201
GAMBRILLS, MD 21054
Dentist
1438 DEFENSE HIGHWAY, CROFTON MEDICAL ARTS BUILDING SUITE 101
GAMBRILLS, MD 21054

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 Su's NPI number?

The NPI number for Peter Su is 1184664146. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Peter Su located?

Peter Su practices at 1438 Defense Highway Suite 201, Gambrills, MD 21054. The listed phone number is (410) 721-3200.

What is Peter Su's specialty?

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

Is Peter Su enrolled in Medicare?

Yes. Peter Su is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Su was last updated on March 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.