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PETER BAINBRIDGE D.O.
NPI 1427029347
Family Medicine in Mount Vernon, OH

Active since January 30, 2006PECOS Enrolled
1490 COSHOCTON AVE, SUITE B, MOUNT VERNON, OH 43050(740) 393-9111(740) 399-3161 Get Directions Write a Review

NPPES record last updated: December 29, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Peter Bainbridge D.o. NPPES

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

PETER BAINBRIDGE D.O. (NPI 1427029347) is an individual family medicine provider in Mount Vernon, Ohio, licensed in Ohio (34004764) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427029347
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePETER BAINBRIDGECredential: D.O.
Location Address1490 COSHOCTON AVE, SUITE BMount Vernon, OH 43050-6099
Mailing Address1330 Coshocton AveMount Vernon, OH 43050-1440 · (740) 393-9111 · Fax (740) 399-3161
Phone(740) 393-9111
Fax(740) 399-3161
Sole ProprietorNo
Enumeration DateJanuary 30, 2006
Last NPPES UpdateDecember 29, 2016
✔ NPI 1427029347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34004764
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1490 COSHOCTON AVE, Mount Vernon, OH 43050
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Other Identifiers 3

Medicaid0749391OH
Medicare UPINE51846OH
Medicare ID-Type UnspecifiedBA0644679OH · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Bainbridge D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Bainbridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Knox Community Hospital
0.2 mi
Clinic/Center
1330 COSHOCTON AVE
Mount Vernon, OH 43050
  • Reassigned Medicare billing, Ohio enrollment
  • 191 clinicians in this Medicare group
NPI 1003065681 (740) 393-5537

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

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.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43050 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 2

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

MR. RANDY L ORSBORN PAC
Physician Assistant
1490 COSHOCTON AVE, STE B
MOUNT VERNON, OH 43050
Knox County (740) 393-9111
KIMBER CULLERS NP
Nurse Practitioner (Family)
1490 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-9111

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 Bainbridge's NPI number?

The NPI number for Peter Bainbridge is 1427029347. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Peter Bainbridge located?

Peter Bainbridge practices at 1490 Coshocton Ave Suite B, Mount Vernon, OH 43050. The listed phone number is (740) 393-9111.

What is Peter Bainbridge's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Peter Bainbridge enrolled in Medicare?

Yes. Peter Bainbridge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Peter Bainbridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Bainbridge reassigns Medicare benefits to Knox Community Hospital (Mount Vernon, OH). 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 Bainbridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Bainbridge accept?

Health plans from CareSource list Peter Bainbridge 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.

When was this NPI record last updated?

The NPPES record for Peter Bainbridge was last updated on December 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.