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DR. PETER PAYTHAL GANPAT M.D.
NPI 1255650081
Psychiatry & Neurology - Psychiatry in Orlando, FL

Active since May 18, 2010PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
10129 CLEAR VISTA ST, ORLANDO, FL 32832(833) 663-6331(833) 673-0418 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, May 24, 2022, Nov 13, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Peter Paythal Ganpat M.d. NPPES

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

DR. PETER PAYTHAL GANPAT M.D. (NPI 1255650081) is an individual psychiatry provider in Orlando, Florida, licensed in Florida (ME130503) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1255650081
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PETER PAYTHAL GANPATCredential: M.D.
Location Address10129 CLEAR VISTA STOrlando, FL 32832-7164
Mailing Address425 W Colonial Dr Ste 302Orlando, FL 32804-6863 · (407) 601-1370
Phone(833) 663-6331
Fax(833) 673-0418
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMay 18, 2010
Last NPPES UpdateApril 18, 20234 updates tracked since enumeration
NPPES CertifiedApril 18, 2023
✔ NPI 1255650081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in FL · ME130503✔ Licensed in NC · 2014-01754
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedFamily MedicineTaxonomy 207Q00000X · License ME130503 (FL), 2014-01754 (NC)
10129 CLEAR VISTA ST, Orlando, FL 32832
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1601 E Rollins StOrlando, FL 32803-1248 · Phone (407) 303-7817
Location 2425 W Colonial Dr Ste 302Orlando, FL 32804-6863 · Phone (407) 601-1370

Other Identifiers 1

OtherQP578FL · Medicare Hf

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.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. Peter Paythal Ganpat 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 ID3779895958
PECOS Enrollment IDI20170822001301
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

2

Medicare enrollment records show Peter Ganpat reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Privia Medical Group Florida, LLC
46 mi
General Practice
140 6TH AVE
Indialantic, FL 32903
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Health First Privia Medical Group
  • 329 clinicians in this Medicare group
NPI 1700649043 (321) 312-3501
Virtual Inpatient Psychiatry Physicians Behavioral Network LLC
46 mi
Psychiatry
701 W PLYMOUTH AVE
Deland, FL 32720
  • Reassigned Medicare billing, Florida enrollment
  • 30 clinicians in this Medicare group
NPI 1801385521 (844) 291-4535

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 6

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
143 services16 patients
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.
132 services116 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
89 services32 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.
83 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services17 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32832 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
Improvement Activities40

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.

STEPHANIE PAIGE LOPEZ ORIZONDO MD
Internal Medicine
10129 CLEAR VISTA ST
ORLANDO, FL 32832
Orange County (833) 663-6331
SONITA KHAN M.D.
Family Medicine
10129 CLEAR VISTA ST
ORLANDO, FL 32832
Orange County (833) 663-6331
MS. CHRISTINE L RANUM APRN
Nurse Practitioner (Psychiatric/Mental Health)
10129 CLEAR VISTA ST
ORLANDO, FL 32832
Orange County (833) 633-6331
ONEMED FLORIDA LLC
Family Medicine
10129 CLEAR VISTA ST
ORLANDO, FL 32832
Orange County (833) 663-6331
JENNA MACGILLIVRAY ROGERSON LCSW
Social Worker (Clinical)
10129 CLEAR VISTA ST
ORLANDO, FL 32832
Orange County (833) 663-6331

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 Ganpat's NPI number?

The NPI number for Peter Ganpat is 1255650081. It was assigned to this individual provider in the NPPES registry on May 18, 2010.

Where is Peter Ganpat located?

Peter Ganpat practices at 10129 Clear Vista St, Orlando, FL 32832. The listed phone number is (833) 663-6331.

What is Peter Ganpat's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Peter Ganpat enrolled in Medicare?

Yes. Peter Ganpat 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 Peter Ganpat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Ganpat reassigns Medicare benefits to 2 organizations: Privia Medical Group Florida, LLC (Indialantic, FL) and Virtual Inpatient Psychiatry Physicians Behavioral Network LLC (Deland, FL). 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 Peter Ganpat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Ganpat accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Peter Ganpat 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.

When was this NPI record last updated?

The NPPES record for Peter Ganpat was last updated on April 18, 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.