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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. PETER JOHN MIOTTO M.D.
NPI 1194709246
Specialist in Marlborough, MA

Active since December 02, 2005PECOS Enrolled
159 UNION ST, SUITE 104, MARLBOROUGH, MA 01752(508) 229-3640(508) 229-7954 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Peter John Miotto M.d. NPPES

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

DR. PETER JOHN MIOTTO M.D. (NPI 1194709246) is an individual specialist in Marlborough, Massachusetts, licensed in Massachusetts (203288) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthcare-marlborough Hospital, and is a graduate of University Of California, Irvine, California College Of Medicine (1989).

NPPES Registry Identity

NPI1194709246
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. PETER JOHN MIOTTOCredential: M.D.
Location Address159 UNION ST, SUITE 104Marlborough, MA 01752-1274
Mailing Address159 Union St, Suite 104Marlborough, MA 01752-1274 · (508) 229-3640 · Fax (508) 229-7954
Phone(508) 229-3640
Fax(508) 229-7954
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1989
Enumeration DateDecember 2, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1194709246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MA · 203288
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

159 UNION ST, Marlborough, MA 01752
Open in Google Maps ↗

Other Identifiers 5

Medicaid0130851MA
Other203288MA · Tufts Health Plan
Other61677MA · Fallon Community Health
Other808067MA · Harvard Pilgrim Health Ca
Other203288MA · Ma State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Peter John Miotto 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 ID5799854279
PECOS Enrollment IDI20080523000444
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 4

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.
43 services38 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.
29 services29 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.
29 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220049
Location157 Union StreetMarlborough, MA 01752 · Middlesex County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

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

JOSEPH L BOUCHARD M.D.
Internal Medicine (Cardiovascular Disease)
159 UNION ST
MARLBOROUGH, MA 01752
Middlesex County (508) 624-9687
CAITLIN E OLSEN NP
Nurse Practitioner (Psychiatric/Mental Health)
159 UNION ST
MARLBOROUGH, MA 01752
Middlesex County (508) 624-9687
DANIEL CARLUCCI M.D.
Internal Medicine (Cardiovascular Disease)
159 UNION ST, SUITE 103
MARLBOROUGH, MA 01752
Middlesex County (508) 624-9687
JOSEPH F ADOLPH MD
Urology
159 UNION ST
MARLBORO, MA 01752
Middlesex County (508) 481-0246
KIMBERLY A. ROBINSON MD
Internal Medicine (Pulmonary Disease)
159 UNION ST, SUITE 102
MARLBOROUGH, MA 01752
Middlesex County (508) 486-5733
MARY THERESA REED R.N., N.P.
Nurse Practitioner
159 UNION ST, SUITE 103
MARLBOROUGH, MA 01752
Middlesex County (508) 624-9688
MASSACHUSETTS CARDIOLOGY ASSOC LLC
Internal Medicine (Cardiovascular Disease)
159 UNION ST, STE 102
MARLBOROUGH, MA 01752
Middlesex County (508) 624-9687

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 Miotto's NPI number?

The NPI number for Peter Miotto is 1194709246. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Peter Miotto located?

Peter Miotto practices at 159 Union St Suite 104, Marlborough, MA 01752. The listed phone number is (508) 229-3640.

What is Peter Miotto's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Peter Miotto enrolled in Medicare?

Yes. Peter Miotto 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 Peter Miotto accept?

Health plans from Anthem Blue Cross and Blue Shield list Peter Miotto 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 Peter Miotto affiliated with any hospitals?

According to CMS data, Peter Miotto is affiliated with Umass Memorial Healthcare-Marlborough Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Peter Miotto was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.