DR. GAJARAH BASEEMAH BALLARD PETERSON M.D.
NPI 1467626788
Internal Medicine in Wilmington, NC

Q: What is Gajarah Peterson's NPI number?

The NPI number for Gajarah Peterson is 1467626788. It was assigned to this individual provider in the NPPES registry on April 17, 2008.

Q: What is Gajarah Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Gajarah Peterson was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 17, 2008PECOS EnrolledAccepts Medicare Assignment

1202 MEDICAL CENTER DR, WILMINGTON, NC 28401(910) 341-3300(910) 251-8824 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Gajarah Baseemah Ballard Peterson M.d. NPPES

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

DR. GAJARAH BASEEMAH BALLARD PETERSON M.D. (NPI 1467626788) is an individual internal medicine provider in Wilmington, North Carolina, licensed in North Carolina (2011-00839) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Sampson Regional Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2006).

NPPES Registry Identity

NPI1467626788

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. GAJARAH BASEEMAH BALLARD PETERSONCredential: M.D.

Location Address1202 MEDICAL CENTER DRWilmington, NC 28401-7307

Mailing Address1202 Medical Center DrWilmington, NC 28401-7307 · (910) 341-3300 · Fax (910) 251-8824

Phone(910) 341-3300

Fax(910) 251-8824

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2006

Enumeration DateApril 17, 2008

Last NPPES UpdateSeptember 28, 2023

NPPES CertifiedSeptember 28, 2023

✔ NPI 1467626788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 2011-00839

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 2011-00839 (NC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1202 MEDICAL CENTER DR, Wilmington, NC 28401

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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. Gajarah Baseemah Ballard Peterson 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 ID2264601780

PECOS Enrollment IDI20110817000568

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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

125 services65 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

34 services29 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

23 services23 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

18 services18 patients

Advance care planning, first 30 minutes 99497

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Sampson Regional Medical Center

Acute Care Hospitals · Clinton, NC

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340024

Location607 Beaman StClinton, NC 28328 · Sampson County

Emergency services Birthing friendly

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340141

Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 20

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

GREGORY ROBERTS M.D.

Internal Medicine (Cardiovascular Disease)