1. Home
  2. Directory
  3. Indiana
  4. Lafayette
  5. Otolaryngology
  6. NPI Profile

PETER J HILLSAMER M.D.
NPI 1316026545
Otolaryngology in Lafayette, IN

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
6725 STACEY HOLLOW WAY, LAFAYETTE, IN 47905(765) 589-9111 Get Directions Write a Review

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

Record update history: Jan 2, 2025, Dec 5, 2024, Mar 16, 2021 (3 updates tracked since 2021).

About Peter J Hillsamer M.d. NPPES

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

PETER J HILLSAMER M.D. (NPI 1316026545) is an individual otolaryngology provider in Lafayette, Indiana, licensed in Indiana (01038246A) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Crawfordsville, and is a graduate of Indiana University School Of Medicine (1985).

NPPES Registry Identity

NPI1316026545
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NamePETER J HILLSAMERCredential: M.D.
Location Address6725 STACEY HOLLOW WAYLafayette, IN 47905-7544
Mailing Address6725 Stacey Hollow WayLafayette, IN 47905-7544 · (765) 589-9111
Phone(765) 589-9111
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1985
Enumeration DateNovember 6, 2006
Last NPPES UpdateJune 22, 20263 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1316026545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IN · 01038246A
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License 01038246A (IN)
6725 STACEY HOLLOW WAY, Lafayette, IN 47905
Open in Google Maps ↗

Other Identifiers 1

Medicaid100232740IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Peter J Hillsamer 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 ID8224029095
PECOS Enrollment IDI20040607001030
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 Reassignment

Medicare enrollment records show Peter Hillsamer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lafayette Otolaryngology Associates, Inc
6.0 mi
Otolaryngology
2320 CONCORD RD
Lafayette, IN 47909
  • Reassigned Medicare billing, Indiana enrollment
  • 4 clinicians in this Medicare group
NPI 1720157951 (765) 477-7436

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 10

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.
235 services184 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.
207 services145 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.
95 services95 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
80 services69 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.
55 services55 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
45 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Franciscan Health Crawfordsville

Acute Care Hospitals · Crawfordsville, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150022
Location1710 Lafayette RdCrawfordsville, IN 47933 · Montgomery County
Emergency services

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150109
Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47905 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers17 claims17 services$33.54 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers12 claims62 services$19.61 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
3 suppliers17 claims17 services$68.47 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers18 claims18 services$22.33 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers24 claims127 services$2.27 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers24 claims25 services$13.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Hillsamer's NPI number?

The NPI number for Peter Hillsamer is 1316026545. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Peter Hillsamer located?

Peter Hillsamer practices at 6725 Stacey Hollow Way, Lafayette, IN 47905. The listed phone number is (765) 589-9111.

What is Peter Hillsamer's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Peter Hillsamer enrolled in Medicare?

Yes. Peter Hillsamer 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 organization bills Medicare for Peter Hillsamer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Hillsamer reassigns Medicare benefits to Lafayette Otolaryngology Associates, Inc (Lafayette, IN). The 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 Hillsamer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Hillsamer accept?

Health plans from Anthem Blue Cross and Blue Shield list Peter Hillsamer 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 Hillsamer affiliated with any hospitals?

According to CMS data, Peter Hillsamer is affiliated with Franciscan Health Crawfordsville and Franciscan Health Lafayette.

When was this NPI record last updated?

The NPPES record for Peter Hillsamer was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.