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DR. PETER A KORETSKY MD
NPI 1467556456
Internal Medicine - Gastroenterology in Melbourne, FL

Active since September 11, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2955 PINEDA PLAZA WAY STE 115, MELBOURNE, FL 32940(321) 254-7375(321) 254-7145 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Peter A Koretsky Md NPPES

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

DR. PETER A KORETSKY MD (NPI 1467556456) is an individual gastroenterology provider in Melbourne, Florida, licensed in Florida (ME53524) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Boston University School Of Medicine (1983).

NPPES Registry Identity

NPI1467556456
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. PETER A KORETSKYCredential: MD
Location Address2955 PINEDA PLAZA WAY STE 115Melbourne, FL 32940-7306
Mailing Address2955 Pineda Plaza Way Ste 115Melbourne, FL 32940-7306 · (321) 254-7375 · Fax (321) 254-7145
Phone(321) 254-7375
Fax(321) 254-7145
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1983
Enumeration DateSeptember 11, 2006
Last NPPES UpdateJune 16, 2018
✔ NPI 1467556456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME53524
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2955 PINEDA PLAZA WAY STE 115, Melbourne, FL 32940
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and more.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

Dr. Peter A Koretsky 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 ID5597783704
PECOS Enrollment IDI20051108000411
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 15

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.
404 services275 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
193 services193 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
134 services133 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
130 services130 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
79 services79 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.
77 services74 patients

Hospital Affiliations CMS Care Compare 4

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Cape Canaveral Hospital

Acute Care Hospitals · Cocoa Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100177
Location701 W Cocoa Beach CausewayCocoa Beach, FL 32932 · Brevard County
Emergency services Birthing friendly

Melbourne Regional Medical Center

Acute Care Hospitals · Melbourne, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100291
Location250 North Wickham RoadMelbourne, FL 32935 · Brevard County
Emergency services

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32940 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
55%315 patients3/55-star benchmark: 85%
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.
92%832 patients4/55-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.
77%211 patients3/55-star benchmark: 100%
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.
99%271 patients4/55-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.
79%533 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
3%280 patients1/55-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…
33%531 patients2/55-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 tobacco: 79% · 202 patients
87%202 patients
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…
74%533 patients3/55-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…
35%533 patients3/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 280 patients
0%280 patients5/55-star benchmark: 100%
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 4

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
2 suppliers52 claims568 services$10.99 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix B4199
Other-Enteral and Parenteral · category OB005N
2 suppliers52 claims310 services$320.33 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
2 suppliers52 claims310 services$8.03 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
2 suppliers52 claims310 services$25.08 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 3

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

PETER A KORETSKY MD PA
Internal Medicine (Gastroenterology)
2955 PINEDA PLAZA WAY STE 115
MELBOURNE, FL 32940
Brevard County (321) 254-7375
SARAH BACHAND APRN
Nurse Practitioner
2955 PINEDA PLAZA WAY STE 115
MELBOURNE, FL 32940
Brevard County (321) 254-7375
MRS. MARY LOU KORETSKY ARNP
Nurse Practitioner (Adult Health)
2955 PINEDA PLAZA WAY STE 115
MELBOURNE, FL 32940
Brevard County (321) 254-7375

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 Koretsky's NPI number?

The NPI number for Peter Koretsky is 1467556456. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Peter Koretsky located?

Peter Koretsky practices at 2955 Pineda Plaza Way Ste 115, Melbourne, FL 32940. The listed phone number is (321) 254-7375.

What is Peter Koretsky's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Peter Koretsky enrolled in Medicare?

Yes. Peter Koretsky 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 Koretsky accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Health First Commercial Plans, Inc. and UnitedHealthcare list Peter Koretsky 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 Koretsky affiliated with any hospitals?

According to CMS data, Peter Koretsky is affiliated with Holmes Regional Medical Center, Cape Canaveral Hospital, Melbourne Regional Medical Center and Viera Hospital.

When was this NPI record last updated?

The NPPES record for Peter Koretsky was last updated on June 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.