PETER ANTHONY LERZA II
NPI 1316591647
Nurse Practitioner in Seaford, DE

Active since July 25, 2019PECOS EnrolledAccepts Medicare Assignment
801 MIDDLEFORD RD, SEAFORD, DE 19973(302) 629-6611 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2022, May 20, 2021, Jul 25, 2019 (3 updates tracked since 2019).

About Peter Anthony Lerza Ii NPPES

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

PETER ANTHONY LERZA II (NPI 1316591647) is an individual nurse practitioner in Seaford, Delaware, licensed in Delaware (LG-00001294) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains a secondary practice location in Cambridge.

NPPES Registry Identity

NPI1316591647
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NamePETER ANTHONY LERZA II
Location Address801 MIDDLEFORD RDSeaford, DE 19973-3636
Mailing Address505 Byrn StCambridge, MD 21613-1911 · (302) 629-6611
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 25, 2019
Last NPPES UpdateJuly 14, 20223 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
NPI 1316591647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in DE · LG-00001294 Licensed in MD · AC003632
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

801 MIDDLEFORD RD, Seaford, DE 19973

Secondary Practice Location 1

Location 1505 Byrn StCambridge, MD 21613-1911 · Phone (410) 221-7770 · Fax (410) 221-7863

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

Peter Anthony Lerza Ii 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 ID4183956238
PECOS Enrollment IDI20191023001187, I20210607000239
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.

Areas of Expertise CMS Part B claims 11

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 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.
193 services74 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
103 services51 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
28 services27 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
27 services19 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
25 services22 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
22 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210023
Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County
Emergency services Birthing friendly

University Of MD Shore Medical Center At Easton

Acute Care Hospitals · Easton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210037
Location219 South Washington StreetEaston, MD 21601 · Talbot County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19973 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims16 services$8.68 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.

Hospitalist
801 MIDDLEFORD RD
SEAFORD, DE 19973
Pediatrics
801 MIDDLEFORD RD
SEAFORD, DE 19973
Physician Assistant
801 MIDDLEFORD RD
SEAFORD, DE 19973
Nurse Practitioner (Family)
801 MIDDLEFORD RD
SEAFORD, DE 19973
Pharmacy (Community/Retail Pharmacy)
801 MIDDLEFORD RD
SEAFORD, DE 19973
Occupational Therapy Assistant
801 MIDDLEFORD RD
SEAFORD, DE 19973
Anesthesiology
801 MIDDLEFORD RD
SEAFORD, DE 19973
Anesthesiology
801 MIDDLEFORD RD
SEAFORD, DE 19973

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 Lerza's NPI number?

The NPI number for Peter Lerza is 1316591647. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Where is Peter Lerza located?

Peter Lerza practices at 801 Middleford Rd, Seaford, DE 19973. The listed phone number is (302) 629-6611.

What is Peter Lerza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Peter Lerza enrolled in Medicare?

Yes. Peter Lerza 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.

What insurance does Peter Lerza accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Peter Lerza 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 Lerza affiliated with any hospitals?

According to CMS data, Peter Lerza is affiliated with Tidalhealth Peninsula Regional, Inc, Luminis Health Anne Arundel Medical Center, Inc and University Of MD Shore Medical Center At Easton.

When was this NPI record last updated?

The NPPES record for Peter Lerza was last updated on July 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.