LAWRENCE P PETERSON PHD
NPI 1497596225
Psychologist - Clinical in Pittsford, NY
About Lawrence P Peterson Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAWRENCE P PETERSON PHD (NPI 1497596225) is an individual clinical provider in Pittsford, New York, licensed in New York (026834) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lawrence P Peterson Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Lawrence Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14620
- Reassigned Medicare billing, New York enrollment
- 1,624 clinicians in this Medicare group
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 191 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PITTSFORD, NY 14534
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 Lawrence Peterson's NPI number?
The NPI number for Lawrence Peterson is 1497596225. It was assigned to this individual provider in the NPPES registry on June 5, 2024.
Where is Lawrence Peterson located?
Lawrence Peterson practices at 179 Sullys Trl Ste 200, Pittsford, NY 14534. The listed phone number is (585) 275-7301.
What is Lawrence Peterson's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Lawrence Peterson enrolled in Medicare?
Yes. Lawrence Peterson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lawrence Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Peterson reassigns Medicare benefits to 2 organizations: University Of Rochester (Rochester, NY) and University Of Rochester Department Of Psychiatry Clinical Group (Rochester, NY). 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 Lawrence Peterson'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 Lawrence Peterson was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Lawrence P Peterson, PHD · NPI 1497596225
Clinical provider in Pittsford, New York. Individual provider, active in the CMS NPPES registry since June 5, 2024.
## Identity
- **NPI:** 1497596225 (Entity type: Individual)
- **Enumerated:** June 5, 2024
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 026834 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 179 SULLYS TRL STE 200, Pittsford, NY 14534-4500
- **Phone:** (585) 275-7301
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Rochester (NPI 1982787537, Rochester, NY); University Of Rochester Department Of Psychiatry Clinical Group (NPI 1326088808, Rochester, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497596225) · Data from the CMS NPPES public registry.