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DR. DMITRY TARASEVICH M.D.
NPI 1215119532
Internal Medicine in Peterborough, NH

Active since November 28, 2007PECOS EnrolledAccepts Medicare Assignment
454 OLD STREET ROAD, SUITE 301, PETERBOROUGH, NH 03458(603) 924-4680(603) 924-4977 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 29, 2021, Nov 10, 2015 (2 updates tracked since 2015).

About Dr. Dmitry Tarasevich M.d. NPPES

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

DR. DMITRY TARASEVICH M.D. (NPI 1215119532) is an individual internal medicine provider in Peterborough, New Hampshire, licensed in New Hampshire (15050) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Cheshire Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1215119532
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DMITRY TARASEVICHCredential: M.D.
Location Address454 OLD STREET ROAD, SUITE 301Peterborough, NH 03458-1263
Mailing Address454 Old Street Road, Suite 301Peterborough, NH 03458-1263 · (603) 924-4680 · Fax (603) 924-4977
Phone(603) 924-4680
Fax(603) 924-4977
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 28, 2007
Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1215119532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NH · 15050
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.
454 OLD STREET ROAD, Peterborough, NH 03458
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Other Identifiers 2

Other002051101NH · Medicare Ptan
Medicaid32000229NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dmitry Tarasevich 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 ID8628251402
PECOS Enrollment IDI20110401000157
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Dmitry Tarasevich reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monadnock Community Hospital
Same address
Critical Access
452 OLD STREET RD
Peterborough, NH 03458
  • Reassigned Medicare billing, New Hampshire enrollment
  • 44 clinicians in this Medicare group
NPI 1881676104 (603) 924-7191
Catholic Medical Center
25 mi
General Acute Care Hospital
100 MCGREGOR ST
Manchester, NH 03102
  • Reassigned Medicare billing, New Hampshire enrollment
  • 199 clinicians in this Medicare group
NPI 1427154335 (603) 668-3545
Hospital Medicine Services Of Nh, LLC
32 mi
Hospitalist
1 PARKLAND DR
Derry, NH 03038
  • Reassigned Medicare billing, New Hampshire enrollment
  • 150 clinicians in this Medicare group
NPI 1548967607 (603) 432-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services35 patients

Hospital Affiliations CMS Care Compare 3

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

Cheshire Medical Center

Acute Care Hospitals · Keene, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300019
Location580 Court StreetKeene, NH 03431 · Cheshire County
Emergency services Birthing friendly

Catholic Medical Center

Acute Care Hospitals · Manchester, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300034
Location100 Mcgregor StreetManchester, NH 03102 · Hillsborough County
Emergency services Birthing friendly

Monadnock Community Hospital

Critical Access Hospitals · Peterborough, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301309
Location452 Old Street RoadPeterborough, NH 03458 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03458 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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 7

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
9 suppliers43 claims122 services$5.52 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers24 claims36 services$0.98 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,400 services$1.68 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$39.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers29 claims29 services$98.63 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$32.99 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.

DR. ROBERT D SPENCER MD
Internal Medicine (Cardiovascular Disease)
454 OLD STREET ROAD, SUITE 201
PETERBOROUGH, NH 03458
Hillsborough County (603) 924-4646
BROOKE NICOLE O'CONNOR APRN
Nurse Practitioner (Family)
454 OLD STREET ROAD, SUITE 201
PETERBOROUGH, NH 03458
Hillsborough County (603) 924-4646
MR. PETER L FORSSELL MD
Internal Medicine (Gastroenterology)
454 OLD STREET ROAD, SUITE 202
PETERBOROUGH, NH 03458
Hillsborough County (603) 924-3397

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 Dmitry Tarasevich's NPI number?

The NPI number for Dmitry Tarasevich is 1215119532. It was assigned to this individual provider in the NPPES registry on November 28, 2007.

Where is Dmitry Tarasevich located?

Dmitry Tarasevich practices at 454 Old Street Road Suite 301, Peterborough, NH 03458. The listed phone number is (603) 924-4680.

What is Dmitry Tarasevich's specialty?

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

Is Dmitry Tarasevich enrolled in Medicare?

Yes. Dmitry Tarasevich 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.

Which organizations bill Medicare for Dmitry Tarasevich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dmitry Tarasevich reassigns Medicare benefits to 3 organizations: Monadnock Community Hospital (Peterborough, NH), Catholic Medical Center (Manchester, NH) and Hospital Medicine Services Of Nh, LLC (Derry, NH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dmitry Tarasevich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dmitry Tarasevich accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Dmitry Tarasevich 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 Dmitry Tarasevich affiliated with any hospitals?

According to CMS data, Dmitry Tarasevich is affiliated with Cheshire Medical Center, Catholic Medical Center and Monadnock Community Hospital.

When was this NPI record last updated?

The NPPES record for Dmitry Tarasevich was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.