PETER C. HANLEY MD
NPI 1346220993
Internal Medicine - Cardiovascular Disease in Fort Wayne, IN

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 432-2297(260) 434-6433 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2020, Dec 22, 2016 (2 updates tracked since 2016).

About Peter C. Hanley Md NPPES

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

PETER C. HANLEY MD (NPI 1346220993) is an individual cardiovascular disease provider in Fort Wayne, Indiana, licensed in Indiana (01038244A) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1346220993
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NamePETER C. HANLEYCredential: MD
Location Address7916 W JEFFERSON BLVDFort Wayne, IN 46804-4140
Mailing Address6920 Pointe Inverness Way Ste 200, Medpartners, Attn: Barb CopelandFort Wayne, IN 46804-7934 · (260) 479-3514 · Fax (260) 479-3520
Fax(260) 434-6433
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJanuary 19, 2006
Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2020
NPI 1346220993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IN · 01038244A
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 01038244A (IN)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 01038244A (IN)
7916 W JEFFERSON BLVD, Fort Wayne, IN 46804

Other Identifiers 5

OtherP00783720IN · Railroad
Other000000087426IN · Anthem
Medicaid0781695OH
Medicaid100262190IN
Other260690NNNIN · Medicare

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 C. Hanley Md 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 ID2062560360
PECOS Enrollment IDI20090424000206
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

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.
21 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Kosciusko Community Hospital

Acute Care Hospitals · Warsaw, IN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number150133
Location2101 E Dubois DrWarsaw, IN 46580 · Kosciusko County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Internal Medicine (Interventional Cardiology)
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Physician Assistant
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Internal Medicine (Clinical Cardiac Electrophysiology)
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Internal Medicine
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Internal Medicine (Interventional Cardiology)
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Physician Assistant
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Internal Medicine (Cardiovascular Disease)
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804

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 Hanley's NPI number?

The NPI number for Peter Hanley is 1346220993. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Peter Hanley located?

Peter Hanley practices at 7916 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 432-2297.

What is Peter Hanley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Peter Hanley enrolled in Medicare?

Yes. Peter Hanley 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 Hanley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Peter Hanley 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 Hanley affiliated with any hospitals?

According to CMS data, Peter Hanley is affiliated with Lutheran Hospital Of Indiana and Kosciusko Community Hospital.

When was this NPI record last updated?

The NPPES record for Peter Hanley was last updated on September 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.