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PETER JOSEPH MURPHY M.D.
NPI 1437191657
Internal Medicine - Pulmonary Disease in Carmichael, CA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
99.97/100
CMS Quality Rating
6403 COYLE AVE, SUITE 450, CARMICHAEL, CA 95608(916) 482-7621(916) 972-7734 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Sep 13, 2017 (2 updates tracked since 2017).

About Peter Joseph Murphy M.d. NPPES

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

PETER JOSEPH MURPHY M.D. (NPI 1437191657) is an individual pulmonary disease provider in Carmichael, California, licensed in California (A31379) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1970).

NPPES Registry Identity

NPI1437191657
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NamePETER JOSEPH MURPHYCredential: M.D.
Location Address6403 COYLE AVE, SUITE 450Carmichael, CA 95608-0311
Mailing Address1300 Ethan Way Ste 600Sacramento, CA 95825-2296 · (916) 679-3590 · Fax (916) 482-3647
Phone(916) 482-7621
Fax(916) 972-7734
Sole ProprietorNo
Medical School CMSOtherGraduated 1970
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1437191657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · A31379
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A31379 (CA)
6403 COYLE AVE, Carmichael, CA 95608
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A313790CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter Joseph Murphy M.d. 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 ID143258236
PECOS Enrollment IDI20050729000975
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 Reassignments

3

Medicare enrollment records show Peter Murphy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Medicine Associates Medical Group, Inc
5.9 mi
Pulmonary Disease
5 MEDICAL PLAZA DR STE 190
Roseville, CA 95661
  • Reassigned Medicare billing, California enrollment
  • 115 clinicians in this Medicare group
NPI 1407880719 (916) 786-7498
Merced Intensivist Group Inc
103 mi
Critical Care Medicine
333 MERCY AVE
Merced, CA 95340
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group
NPI 1720604895 (310) 321-0143
Saint Agnes Medical Foundation
152 mi
Internal Medicine
1303 E HERNDON AVE, SUITE 850
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 296 clinicians in this Medicare group
NPI 1558819482 (559) 450-5611

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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
162 services91 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
147 services91 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95608 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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.

99.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.5
Promoting Interoperability100
Improvement Activities40
Cost75.07

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
64%25 patients3/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%463 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%336 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%168 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
93%346 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
77%219 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
93%342 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 100 patients
96%100 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%346 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
100%346 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
41%346 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.

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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers32 claims32 services$769.12 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims19 services$56.20 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 9

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

LESLIE GOODWIN PTA
Physical Therapy Assistant
6403 COYLE AVE, STE. 350
CARMICHAEL, CA 95608
Sacramento County (916) 536-9130
CRAIG N. PFEIFFER, M.D., INC.
Neurological Surgery
6403 COYLE AVE, SUITE 260
CARMICHAEL, CA 95608
Sacramento County (916) 966-6044
DAWN M TOPPING P.A.-C
Physician Assistant
6403 COYLE AVE, SUITE 170
CARMICHAEL, CA 95608
Sacramento County (916) 965-4000
DR. ROY N POTTENGER MD
Orthopaedic Surgery
6403 COYLE AVE, STE 170
CARMICHAEL, CA 95608
Sacramento County (916) 965-4000
HANGER PROSTHETICS & ORTHOTICS WEST INC.
Prosthetic/Orthotic Supplier
6403 COYLE AVE, SUITE 380
CARMICHAEL, CA 95608
Sacramento County (916) 536-1121
DR. ALEX CONWAY PT, DPT
Physical Therapist
6403 COYLE AVE, SUITE 350
CARMICHAEL, CA 95608
Sacramento County (916) 536-9130
RICHARD ROBERT STACK M.D.
Internal Medicine (Pulmonary Disease)
6403 COYLE AVE, SUITE 450
CARMICHAEL, CA 95608
Sacramento County (916) 482-7621
DR. HUNTER S GREENE M.D.
Orthopaedic Surgery (Sports Medicine)
6403 COYLE AVE, SUITE 170
CARMICHAEL, CA 95608
Sacramento County (916) 965-4000

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 Murphy's NPI number?

The NPI number for Peter Murphy is 1437191657. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Peter Murphy located?

Peter Murphy practices at 6403 Coyle Ave Suite 450, Carmichael, CA 95608. The listed phone number is (916) 482-7621.

What is Peter Murphy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Peter Murphy enrolled in Medicare?

Yes. Peter Murphy 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.

Which organizations bill Medicare for Peter Murphy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Murphy reassigns Medicare benefits to 3 organizations: Pulmonary Medicine Associates Medical Group, Inc (Roseville, CA), Merced Intensivist Group Inc (Merced, CA) and Saint Agnes Medical Foundation (Fresno, CA). Each 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 Murphy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Murphy was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.