DR. KEVIN EDWARD PELTIER I MD
NPI 1407823792
Orthopaedic Surgery - Sports Medicine in Manassas, VA

Active since March 05, 2006PECOS EnrolledAccepts Medicare Assignment
76.36/100
CMS Quality Rating
8644 SUDLEY RD, SUITE 308, MANASSAS, VA 20110(703) 369-9070(703) 369-9240 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin Edward Peltier I Md NPPES

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

DR. KEVIN EDWARD PELTIER I MD (NPI 1407823792) is an individual sports medicine provider in Manassas, Virginia, licensed in Virginia (0101239534) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Warren Memorial Hospital, and is a graduate of Georgetown University School Of Medicine (2000).

NPPES Registry Identity

NPI1407823792
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. KEVIN EDWARD PELTIER ICredential: MD
Location Address8644 SUDLEY RD, SUITE 308Manassas, VA 20110-4400
Mailing AddressP. O. Box 715868Philadelphia, PA 19171-5868 · (804) 215-3063
Fax(703) 369-9240
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2000
Enumeration DateMarch 5, 2006
Last NPPES UpdateFebruary 24, 2023
NPPES CertifiedFebruary 24, 2023
NPI 1407823792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in VA · 0101239534
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
8644 SUDLEY RD, Manassas, VA 20110

Other Identifiers 4

Medicaid006401201VA
Other7957069Aetna
Other2357733Aetna Hmo
Other176914Anthem

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

Dr. Kevin Edward Peltier I 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 ID8820001407
PECOS Enrollment IDI20060727000046
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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,132 services200 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
280 services194 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
268 services189 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.
234 services170 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.
215 services159 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.
88 services88 patients

Hospital Affiliations CMS Care Compare 4

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

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490045
Location8700 Sudley RdManassas, VA 20110 · Manassas City County
Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

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.

76.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.16
Promoting Interoperability100
Improvement Activities40
Cost54.07

Referred Medical Equipment & Supplies CMS DME claims 2

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

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
2 suppliers15 claims15 services$78.20 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers15 claims15 services$103.28 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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
8644 SUDLEY RD, STE 308
MANASSAS, VA 20110
Pain Medicine (Interventional Pain Medicine)
8644 SUDLEY RD, STE 117
MANASSAS, VA 20110
Audiologist
8644 SUDLEY RD, SUITE 114
MANASSAS, VA 20110
Counselor (Professional)
8644 SUDLEY RD, SUITE 315
MANASSAS, VA 20110
Physical Therapist
8644 SUDLEY RD, SUITE 310
MANASSAS, VA 20110
Psychiatry & Neurology (Psychiatry)
8644 SUDLEY RD, SUITE 315
MANASSAS, VA 20110
Clinic/Center (Ambulatory Surgical)
8644 SUDLEY RD, SUITE 201
MANASSAS, VA 20110
Physical Medicine & Rehabilitation (Pain Medicine)
8644 SUDLEY RD, SUITE 117
MANASSAS, VA 20110

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 Kevin Peltier's NPI number?

The NPI number for Kevin Peltier is 1407823792. It was assigned to this individual provider in the NPPES registry on March 5, 2006.

Where is Kevin Peltier located?

Kevin Peltier practices at 8644 Sudley Rd Suite 308, Manassas, VA 20110. The listed phone number is (703) 369-9070.

What is Kevin Peltier's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Kevin Peltier enrolled in Medicare?

Yes. Kevin Peltier 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.

Is Kevin Peltier affiliated with any hospitals?

According to CMS data, Kevin Peltier is affiliated with Warren Memorial Hospital, Novant Prince William Medical Center, Virginia Hospital Center and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Peltier was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.