DR. JOHN M. PETERS D.O.
NPI 1265497549
Pediatrics - Pediatric Gastroenterology in Miami, FL

Q: What is John Peters's NPI number?

The NPI number for John Peters is 1265497549. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is John Peters's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for John Peters was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 19, 2006PECOS Enrolled

3100 SW 62ND AVE, MIAMI, FL 33155(305) 662-8357(305) 669-6406 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. John M. Peters D.o. NPPES

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

DR. JOHN M. PETERS D.O. (NPI 1265497549) is an individual pediatric gastroenterology provider in Miami, Florida, licensed in Florida (OS14046) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265497549

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NameDR. JOHN M. PETERSCredential: D.O.

Location Address3100 SW 62ND AVEMiami, FL 33155-3009

Mailing Address3100 Sw 62nd AveMiami, FL 33155-3009 · (305) 662-8357 · Fax (305) 669-6406

Phone(305) 662-8357

Fax(305) 669-6406

Sole ProprietorNo

Enumeration DateApril 19, 2006

Last NPPES UpdateJune 6, 2016

✔ NPI 1265497549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in FL · OS14046

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

3100 SW 62ND AVE, Miami, FL 33155

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Other Identifiers 1

Medicare UPINA76895

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John M. Peters D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Nicklaus Children's Pediatric Specialists, LLC

Same address

Pediatric Cardiology

3100 SW 62ND AVE, 2ND FLOOR, SUITE A- DEPARTMENT OF CARDIOLOGY
Miami, FL 33155

Reassigned Medicare billing, Florida enrollment
87 clinicians in this Medicare group

NPI 1003360959 (786) 624-5876

Geisinger Clinic

1,026 mi

Internal Medicine

3228 COLD SPRINGS RD
Huntingdon, PA 16652

Reassigned Medicare billing, Pennsylvania enrollment
4,429 clinicians in this Medicare group

NPI 1548599913 (570) 271-5555

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33155 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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 8

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

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

1 supplier15 claims15 services$68.11 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

1 supplier11 claims33 services$27.90 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

2 suppliers13 claims13 services$51.01 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

2 suppliers12 claims12 services$15.33 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

2 suppliers27 claims27 services$10.50 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers18 claims108 services$2.04 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 20

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

PATRICE NEIL PA-C

Physician Assistant (Medical)

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (305) 666-6511

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

Pediatrics (Pediatric Cardiology)

3100 SW 62ND AVE, 2ND FLOOR, SUITE A- DEPARTMENT OF CARDIOLOGY
MIAMI, FL 33155

Miami-Dade County (786) 624-5876

LUCILA SERVITJE AZCARRAGA MD

Student in an Organized Health Care Education/Training Program

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (305) 669-5873

DR. YELENA SLOBODSCOY IGNATOV BSC, MD

Student in an Organized Health Care Education/Training Program

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (305) 669-5873

SIVANESAN SIVAGNANA GANESAN

Student in an Organized Health Care Education/Training Program

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (786) 624-2855

HIMANSHU MEENA

Student in an Organized Health Care Education/Training Program

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (305) 669-5873

DR. TERESITA FOX M.D.

Pediatrics

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (561) 624-9188

MRS. ERIN HERNANDEZ CPNP

Nurse Practitioner (Pediatrics)

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (305) 662-8357

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 John Peters's NPI number?

The NPI number for John Peters is 1265497549. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is John Peters located?

John Peters practices at 3100 SW 62nd Ave, Miami, FL 33155. The listed phone number is (305) 662-8357.

What is John Peters's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is John Peters enrolled in Medicare?

Yes. John Peters is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Peters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Peters reassigns Medicare benefits to 2 organizations: Nicklaus Children's Pediatric Specialists, LLC (Miami, FL) and Geisinger Clinic (Huntingdon, PA). 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 John Peters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Peters accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list John 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.

When was this NPI record last updated?

The NPPES record for John Peters was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.