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DR. PETER DAVID HIGHLANDER D.P.M., M.S.
NPI 1285921072
Podiatrist - Foot & Ankle Surgery in Sandusky, OH

Active since June 30, 2011PECOS EnrolledAccepts Medicare Assignment
2500 W STRUB RD, STE 350, SANDUSKY, OH 44870(419) 627-1471(419) 627-8941 Get Directions Write a Review

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 22, 2016, Aug 19, 2016 (2 updates tracked since 2016).

About Dr. Peter David Highlander D.p.m., M.s. NPPES

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

DR. PETER DAVID HIGHLANDER D.P.M., M.S. (NPI 1285921072) is an individual foot & ankle surgery provider in Sandusky, Ohio, licensed in Ohio (36003696) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Barry University School Of Podiatric Medicine (2011).

NPPES Registry Identity

NPI1285921072
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. PETER DAVID HIGHLANDERCredential: D.P.M., M.S.
Location Address2500 W STRUB RD, STE 350Sandusky, OH 44870-5390
Mailing AddressPo Box 378Sandusky, OH 44871-0378 · (419) 609-1112 · Fax (419) 609-1123
Phone(419) 627-1471
Fax(419) 627-8941
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2011
Enumeration DateJune 30, 2011
Last NPPES UpdateNovember 22, 20162 updates tracked since enumeration
✔ NPI 1285921072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in OH · 36003696✔ Licensed in PA · SC006290
2500 W STRUB RD, Sandusky, OH 44870
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Other Identifiers 2

Medicare PINH307020OH
Medicaid0101758OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 David Highlander D.p.m., M.s. 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 ID8325261498
PECOS Enrollment IDI20140516001275
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 Peter Highlander reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellevue Professional Services, Inc.
11 mi
Obstetrics & Gynecology
1400 W MAIN ST, BLDG 1, SUITE A
Bellevue, OH 44811
  • Reassigned Medicare billing, Ohio enrollment
  • 9 clinicians in this Medicare group
NPI 1063481737 (419) 483-2494
Reconstruction Institute, LLC
11 mi
Foot & Ankle Surgery
1400 W MAIN ST STE D
Bellevue, OH 44811
  • Reassigned Medicare billing, Ohio enrollment
NPI 1285445023 (000) 000-0000
Mercy Health Physicians North Specialty Care LLC
46 mi
Surgery
2200 JEFFERSON AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 690 clinicians in this Medicare group
NPI 1306468418 (888) 696-3541

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.

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.
114 services80 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services30 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.
28 services26 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.
18 services12 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Mercy Health - Tiffin Hospital

Acute Care Hospitals · Tiffin, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360089
Location45 St Lawrence DriveTiffin, OH 44883 · Seneca County
Emergency services Birthing friendly

Bellevue Hospital

Acute Care Hospitals · Bellevue, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360107
Location1400 West Main StreetBellevue, OH 44811 · Sandusky County
Birthing friendly

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Gary ***** February 17, 2025

5/5
Dr Highlander has been a excellent health care provider. I have had ongoing issues with both ankles. With his skills and knowledge i am able to walk without fear of falling or rolling my ankles. I have had numerous procedures completed and Dr. Highlander has been there for me even after hours. He gives his patients 110%. He treats his patients in a professional but personal manner.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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.

COURTNEY BLACKSTON
Occupational Therapist
2500 W STRUB RD, SUITE 150
SANDUSKY, OH 44870
Erie County (419) 626-4162
MRS. MICHELE LYNN POULOS RN, MSN, ANP-C
Nurse Practitioner (Adult Health)
2500 W STRUB RD, SUITE 230
SANDUSKY, OH 44870
Erie County (419) 626-6891
THOMAS BLANTON PT
Physical Therapist
2500 W STRUB RD, SUITE 150
SANDUSKY, OH 44870
Erie County (419) 626-4162
MS. STEFANIE L WINDAU RD, LD
Dietitian, Registered
2500 W STRUB RD, SUITE 230
SANDUSKY, OH 44870
Erie County (419) 626-6891
DR. BRIAN J PRINTY M.D.
Obstetrics & Gynecology
2500 W STRUB RD, SUITE 210
SANDUSKY, OH 44870
Erie County (419) 625-2841
NATALIE FELTER NP
Nurse Practitioner
2500 W STRUB RD, STE 350
SANDUSKY, OH 44870
Erie County (419) 502-3376
TIMOTHY L CUTLER
Family Medicine
2500 W STRUB RD
SANDUSKY, OH 44870
Erie County (419) 625-1200
DR. PAUL J BRUNER D.O.
Family Medicine
2500 W STRUB RD, SUITE 230
SANDUSKY, OH 44870
Erie County (419) 625-1200

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 Highlander's NPI number?

The NPI number for Peter Highlander is 1285921072. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Peter Highlander located?

Peter Highlander practices at 2500 W Strub Rd Ste 350, Sandusky, OH 44870. The listed phone number is (419) 627-1471.

What is Peter Highlander's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Peter Highlander enrolled in Medicare?

Yes. Peter Highlander 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 Highlander's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Highlander reassigns Medicare benefits to 3 organizations: Bellevue Professional Services, Inc. (Bellevue, OH), Reconstruction Institute, LLC (Bellevue, OH) and Mercy Health Physicians North Specialty Care LLC (Toledo, OH). 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 Highlander's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Highlander accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Peter Highlander 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 Peter Highlander affiliated with any hospitals?

According to CMS data, Peter Highlander is affiliated with Firelands Regional Medical Center, Mercy Health - Tiffin Hospital and Bellevue Hospital.

When was this NPI record last updated?

The NPPES record for Peter Highlander was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.