DR. PETER T DEMOS M.D.
NPI 1619977402
Dermatology in Springfield, MA

Q: What is Peter Demos's NPI number?

The NPI number for Peter Demos is 1619977402. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Q: What is Peter Demos's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Demos was last updated on December 25, 2021. 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.

Active since July 22, 2005PECOS Enrolled

125 LIBERTY ST, STE 403, SPRINGFIELD, MA 01103(413) 739-6611 Get Directions Write a Review

NPPES record last updated: December 25, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 25, 2021, Oct 27, 2017 (2 updates tracked since 2017).

On this page

About Dr. Peter T Demos M.d. NPPES

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

DR. PETER T DEMOS M.D. (NPI 1619977402) is an individual dermatology provider in Springfield, Massachusetts, licensed in Massachusetts (58416) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (1980).

NPPES Registry Identity

NPI1619977402

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameDR. PETER T DEMOSCredential: M.D.

Location Address125 LIBERTY ST, STE 403Springfield, MA 01103-1109

Mailing Address125 Liberty St, Ste 403Springfield, MA 01103-1109 · (413) 739-6611

Phone(413) 739-6611

Sole ProprietorYes

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1980

Enumeration DateJuly 22, 2005

Last NPPES UpdateDecember 25, 20212 updates tracked since enumeration

NPPES CertifiedDecember 25, 2021

✔ NPI 1619977402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in MA · 58416

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

125 LIBERTY ST, Springfield, MA 01103

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Other Identifiers 3

OtherJ06761MA · Provider Number

Other11753MA · Hne Provider Number

Other725076MA · Tufts Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter T Demos M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224063003

PECOS Enrollment IDI20050929001055

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 Reassignment

Medicare enrollment records show Peter Demos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Demos Dermatology, LLC

0.9 mi

Dermatology

673 MAIN ST
West Springfield, MA 01089

Reassigned Medicare billing, Massachusetts enrollment
4 clinicians in this Medicare group

NPI 1730804634 (413) 739-6611

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 7

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

228 services37 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.

104 services101 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

48 services48 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

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.

25 services25 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01103 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

Most-billed visit code 99213

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.

DR. SUN TIEN LIN M.D.

Internal Medicine

125 LIBERTY ST, SUITE 204
SPRINGFIELD, MA 01103

Hampden County (413) 788-4321

KINAYSHA LIZBETH ORTA RODRIGUEZ

Counselor (Mental Health)