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DR. PETER GREGORY BALTUSNIK M.D.
NPI 1598962193
Family Medicine in Petersburg, WV

Active since June 28, 2007PECOS EnrolledAccepts Medicare Assignment
117 HOSPITAL DR, PETERSBURG, WV 26847(304) 257-1026 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Apr 7, 2022, Mar 1, 2021 and 7 more (10 updates tracked since 2016).

About Dr. Peter Gregory Baltusnik M.d. NPPES

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

DR. PETER GREGORY BALTUSNIK M.D. (NPI 1598962193) is an individual family medicine provider in Petersburg, West Virginia, licensed in West Virginia (23383) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Valley Health War Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1598962193
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PETER GREGORY BALTUSNIKCredential: M.D.
Location Address117 HOSPITAL DRPetersburg, WV 26847
Mailing Address117 Hospital DrPetersburg, WV 26847-9566 · (304) 257-1026
Phone(304) 257-1026
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2007
Enumeration DateJune 28, 2007
Last NPPES UpdateMarch 7, 202310 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1598962193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WV · 23383✔ Licensed in VA · 0101267025
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 0101267025 (VA)
117 HOSPITAL DR, Petersburg, WV 26847
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Secondary Practice Locations 3

Location 1Routes 28/55 Hospital DrivePetersburgh, WV 26847 · Phone (304) 257-2962
Location 2200 Memorial DrLuray, VA 22835-1000 · Phone (540) 743-4561 · Fax (540) 743-9560
Location 31 Healthy WayBerkeley Springs, WV 25411-7463 · Phone (304) 258-1234 · Fax (304) 258-7422

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 and accepts Medicare assignment

Dr. Peter Gregory Baltusnik 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 ID244396976
PECOS Enrollment IDI20090305000000
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

7

Medicare enrollment records show Peter Baltusnik reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Potomac Valley Hospital Of W VA , Inc
29 mi
Critical Access
100 PIN OAK LN
Keyser, WV 26726
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1316054919 (West Virginia)
  • 158 clinicians in this Medicare group
NPI 1912979873 (304) 597-3525
Hampshire Memorial Hospital, Inc.
33 mi
Rural Health
329 SUNRISE BLVD
Romney, WV 26757
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1396897203 (West Virginia)
  • 156 clinicians in this Medicare group
NPI 1881735660 (304) 822-4949
Page Memorial Hospital, Inc.
43 mi
Medical Specialty
250 MEMORIAL DRIVE, SUITE C
Luray, VA 22835
  • Reassigned Medicare billing, Virginia enrollment
  • 364 clinicians in this Medicare group
NPI 1437250396 (540) 743-3541
War Memorial Hospital, Inc.
62 mi
Rural Health
3774 VALLEY ROAD
Berkeley Springs, WV 25411
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1467450353 (West Virginia)
  • 158 clinicians in this Medicare group
NPI 1013489541 (304) 258-9433
University Healthcare Physicians Inc
70 mi
Anesthesiology
2500 FOUNDATION WAY
Martinsburg, WV 25401
  • Reassigned Medicare billing, West Virginia enrollment
  • 208 clinicians in this Medicare group
NPI 1417371329 (304) 264-9202
Jmh Emergency Physicians
72 mi
Emergency Medicine
300 S PRESTON ST
Ranson, WV 25438
  • Reassigned Medicare billing, West Virginia enrollment
  • 24 clinicians in this Medicare group
NPI 1730482449 (844) 474-4019
Health Care Alliance, Inc.
139 mi
Emergency Medicine
105 S EISENHOWER DR
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 183 clinicians in this Medicare group
NPI 1730128760 (304) 256-6600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511309
Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County
Emergency services

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511311
Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26847 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

ANDREW ARLIE FUNK APRN-FNP BC
Nurse Practitioner (Family)
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
GRANT MEMORIAL HOSPITAL INC
General Acute Care Hospital (Critical Access)
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
MRS. KELLY D SMITH-RIGGLEMAN PAC
Physician Assistant (Medical)
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
ROBIN PHARES CRNP
Nurse Practitioner (Family)
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
BRENTON ROBERT HARMAN RPH
Pharmacist
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
MITCHELL JOSEPH MASON
Physical Therapist
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
AMY BRETT BENSENHAVER FNP
Clinic/Center (Urgent Care)
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
GLENN K GEETING MD
Emergency Medicine
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026

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 Baltusnik's NPI number?

The NPI number for Peter Baltusnik is 1598962193. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Peter Baltusnik located?

Peter Baltusnik practices at 117 Hospital Dr, Petersburg, WV 26847. The listed phone number is (304) 257-1026.

What is Peter Baltusnik's specialty?

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

Is Peter Baltusnik enrolled in Medicare?

Yes. Peter Baltusnik 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 Baltusnik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Baltusnik reassigns Medicare benefits to 7 organizations: Potomac Valley Hospital Of W VA , Inc (Keyser, WV), Hampshire Memorial Hospital, Inc. (Romney, WV), Page Memorial Hospital, Inc. (Luray, VA), War Memorial Hospital, Inc. (Berkeley Springs, WV), University Healthcare Physicians Inc (Martinsburg, WV) and 2 more organizations, listed in the Medicare section above. 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 Baltusnik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Baltusnik accept?

Health plans from CareSource list Peter Baltusnik 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 Baltusnik affiliated with any hospitals?

According to CMS data, Peter Baltusnik is affiliated with Valley Health War Memorial Hospital and Hampshire Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Peter Baltusnik was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.