DR. MICHAEL THEODORE PETERSON D.O.
NPI 1194768606
Internal Medicine in Tafton, PA

Q: What is Michael Peterson's NPI number?

The NPI number for Michael Peterson is 1194768606. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Michael Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Peterson was last updated on May 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment

132 MANLY RD, TAFTON, PA 18464(570) 226-2151(570) 226-1861 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Michael Theodore Peterson D.o. NPPES

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

DR. MICHAEL THEODORE PETERSON D.O. (NPI 1194768606) is an individual internal medicine provider in Tafton, Pennsylvania, licensed in Pennsylvania (OS-007805L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1989).

NPPES Registry Identity

NPI1194768606

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MICHAEL THEODORE PETERSONCredential: D.O.

Location Address132 MANLY RDTafton, PA 18464-7829

Mailing Address601 Park StHonesdale, PA 18431-1445 · (570) 226-2151 · Fax (570) 226-1861

Phone(570) 226-2151

Fax(570) 226-1861

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1989

Enumeration DateJune 13, 2006

Last NPPES UpdateMay 19, 2016

✔ NPI 1194768606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · OS-007805L

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

132 MANLY RD, Tafton, PA 18464

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Other Identifiers 8

OtherPE744170PA · Highmark Blue Shield

Other003000PA · First Priority Health

Other8873PA · Geisinger Health Plan

Medicare UPINF56637PA

Medicare PIN744170UC7PA

Other02042395NY · Ny Medical Assistance

Medicaid0014151170001PA

Medicare OSCAR/certification744170JJMPA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Michael Theodore Peterson D.o. 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 ID8022044585

PECOS Enrollment IDI20050715000446

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.

Hospital Affiliations CMS Care Compare 4

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390001

Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County

Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390125

Location601 Park StreetHonesdale, PA 18431 · Wayne County

Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390201

Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County

Emergency services Birthing friendly

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390237

Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18464 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

16 suppliers108 claims242 services$5.38 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

5 suppliers26 claims26 services$2.72 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

15 suppliers51 claims63 services$0.94 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier17 claims17 services$20.68 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers33 claims33 services$198.34 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

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

DR. CHARLES DAVID ARONICA D.O.

Internal Medicine

132 MANLY RD
TAFTON, PA 18464

Pike County (570) 226-2151

KEVIN LE MD

Internal Medicine

132 MANLY RD
TAFTON, PA 18464

Pike County (570) 226-2151

PINNACLE HEALTH PARTNERS INC

Internal Medicine

132 MANLY RD
TAFTON, PA 18464

Pike County (570) 226-2151

WAYNE MEMORIAL COMMUNITY HEALTH CENTERS

Clinic/Center (Federally Qualified Health Center (FQHC))

132 MANLY RD
TAFTON, PA 18464

Pike County (570) 226-2151

MADELINE CHRISTINE CAREY PA-C

Physician Assistant

132 MANLY RD
TAFTON, PA 18464

Pike County (570) 226-2151

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 Michael Peterson's NPI number?

The NPI number for Michael Peterson is 1194768606. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Michael Peterson located?

Michael Peterson practices at 132 Manly Rd, Tafton, PA 18464. The listed phone number is (570) 226-2151.

What is Michael Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Peterson enrolled in Medicare?

Yes. Michael Peterson 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 Michael Peterson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Peterson 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 Michael Peterson affiliated with any hospitals?

According to CMS data, Michael Peterson is affiliated with Geisinger-Community Medical Center, Wayne Memorial Hospital, Lehigh Valley Hospital - Pocono and Regional Hospital Of Scranton.

When was this NPI record last updated?

The NPPES record for Michael Peterson was last updated on May 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.