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PETER MORTENSEN JR. MD
NPI 1376907840
Ophthalmology - Neuro-ophthalmology in Pittsburgh, PA

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
1622 LOCUST ST, PITTSBURGH, PA 15219(412) 530-5470 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2025, May 7, 2025, Feb 15, 2023 and 2 more (5 updates tracked since 2019).

About Peter Mortensen Jr. Md NPPES

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

PETER MORTENSEN JR. MD (NPI 1376907840) is an individual neuro-ophthalmology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD489719) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of University Of Pittsburgh School Of Medicine (2016).

NPPES Registry Identity

NPI1376907840
Entity TypeIndividualMale
Primary Taxonomy207WX0109X
Provider Legal NamePETER MORTENSEN JR.Credential: MD
Location Address1622 LOCUST STPittsburgh, PA 15219-5924
Mailing Address1622 Locust StPittsburgh, PA 15219-5924 · (412) 530-5470
Phone(412) 530-5470
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2016
Enumeration DateApril 11, 2016
Last NPPES UpdateMay 16, 20255 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1376907840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Neuro-ophthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207WX0109X
License✔ Licensed in PA · MD489719
Definition
A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.
Also ListedOphthalmologyTaxonomy 207W00000X · License T0576 (TX)
1622 LOCUST ST, Pittsburgh, PA 15219
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice.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 Mortensen Jr. 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 ID446651095
PECOS Enrollment IDI20250507002563
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 9

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.

Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
409 services263 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.
232 services159 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
230 services197 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.
112 services92 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
72 services72 patients
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.
57 services47 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15219 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
31%36 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%28 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 68% · 31 patients
65%31 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ANNABEL LEVIN OD
Optometrist
1622 LOCUST ST
PITTSBURGH, PA 15219
Allegheny County (412) 530-4192
ANNA GUSHCHIN
Ophthalmology
1622 LOCUST ST
PITTSBURGH, PA 15219
Allegheny County (412) 647-2200
GABRIELLE NICOLE RAULS
Student in an Organized Health Care Education/Training Program
1622 LOCUST ST, FOURTH FLOOR
PITTSBURGH, PA 15219
Allegheny County (412) 232-8901
CHRISTIAN JOHN KARAM
Student in an Organized Health Care Education/Training Program
1622 LOCUST ST
PITTSBURGH, PA 15219
Allegheny County (412) 642-5434
RACHEL ELIZABETH MILLS
Optometrist
1622 LOCUST ST
PITTSBURGH, PA 15219
Allegheny County (412) 530-5470
AARTI BISHNOI
Ophthalmology
1622 LOCUST ST
PITTSBURGH, PA 15219
Allegheny County (412) 647-2200
DR. JOSHUA CLERMONT O.D.
Optometrist
1622 LOCUST ST
PITTSBURGH, PA 15219
Allegheny County (412) 530-5470
ZEENAL GEORGE DABRE MBBS, MS
Student in an Organized Health Care Education/Training Program
1622 LOCUST ST
PITTSBURGH, PA 15219
Allegheny County (412) 552-3240

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 Mortensen's NPI number?

The NPI number for Peter Mortensen is 1376907840. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Peter Mortensen located?

Peter Mortensen practices at 1622 Locust St, Pittsburgh, PA 15219. The listed phone number is (412) 530-5470.

What is Peter Mortensen's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Neuro-ophthalmology, with taxonomy code 207WX0109X.

Is Peter Mortensen enrolled in Medicare?

Yes. Peter Mortensen 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 Mortensen accept?

Health plans from Community Health Choice list Peter Mortensen 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 Mortensen affiliated with any hospitals?

According to CMS data, Peter Mortensen is affiliated with Upmc Mercy, Upmc St Margaret, Upmc Passavant, Upmc Presbyterian Shadyside and Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Peter Mortensen was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.