JOSEPH A PETERS M.D.
NPI 1225058407
Family Medicine in Counce, TN

Active since July 20, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 44D0696061 · Waiver
21.57/100
CMS Quality Rating
8917 HIGHWAY 57, COUNCE, TN 38326(732) 689-5232(731) 689-3007 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph A Peters M.d. NPPES

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

JOSEPH A PETERS M.D. (NPI 1225058407) is an individual family medicine provider in Counce, Tennessee, licensed in Tennessee (MD13487) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 26, 2026, and is affiliated with Magnolia Regional Health Center.

NPPES Registry Identity

NPI1225058407
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSEPH A PETERSCredential: M.D.
Location Address8917 HIGHWAY 57Counce, TN 38326
Mailing AddressP.o. Box 304Counce, TN 38326 · (731) 689-5232 · Fax (731) 689-3007
Fax(731) 689-3007
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1980
Enumeration DateJuly 20, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1225058407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · MD13487
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.
8917 HIGHWAY 57, Counce, TN 38326

Other Identifiers 1

Medicaid3188669TN

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

Joseph A Peters 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 ID4183694573
PECOS Enrollment IDI20040820000597
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0696061

Joseph A Peters MD · Counce, TN
Active · expires Aug 26, 2026
CLIA Number44D0696061
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2024
Certificate Expiration DateAugust 26, 2026
Laboratory DirectorJoseph A. Peters MD
Laboratory Phone(731) 689-5232
Laboratory LocationJoseph A Peters MDHwy 57 S PO Box 304, Counce, TN 38326
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 19

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.

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
726 services285 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
715 services105 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.
525 services199 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
400 services41 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
306 services64 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
210 services78 patients

Hospital Affiliations CMS Care Compare 4

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

Magnolia Regional Health Center

Acute Care Hospitals · Corinth, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250009
Location611 Alcorn DriveCorinth, MS 38834 · Alcorn County
Emergency services Birthing friendly

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Henderson County Community Hospital

Acute Care Hospitals · Lexington, TN
OwnershipProprietary
CMS Certification Number440008
Location200 W Church StLexington, TN 38351 · Henderson County
Emergency services

Hardin Medical Center

Acute Care Hospitals · Savannah, TN
OwnershipGovernment - Local
CMS Certification Number440109
Location935 Wayne RoadSavannah, TN 38372 · Hardin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38326 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

21.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost71.92

Referred Medical Equipment & Supplies CMS DME claims 32

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
13 suppliers132 claims216 services$4.43 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers41 claims42 services$0.67 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims333 services$7.10 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers12 claims12 services$119.48 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
1 supplier14 claims69 services$25.62 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
1 supplier16 claims16 services$70.09 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

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

Family Medicine
8917 HIGHWAY 57
COUNCE, TN 38326

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 Joseph Peters's NPI number?

The NPI number for Joseph Peters is 1225058407. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Joseph Peters located?

Joseph Peters practices at 8917 Highway 57, Counce, TN 38326. The listed phone number is (732) 689-5232.

What is Joseph Peters's specialty?

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

Is Joseph Peters enrolled in Medicare?

Yes. Joseph 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.

Does Joseph Peters hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0696061) is associated with this NPI, valid through August 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Joseph Peters accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Joseph 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 Joseph Peters affiliated with any hospitals?

According to CMS data, Joseph Peters is affiliated with Magnolia Regional Health Center, Jackson-Madison County General Hospital, Henderson County Community Hospital and Hardin Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Peters was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.