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PETER GEARHART MD
NPI 1669490959
Obstetrics & Gynecology in Philadelphia, PA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
86.75/100
CMS Quality Rating
601 WALNUT ST, SUITE 925E, PHILADELPHIA, PA 19106(215) 829-8000 Get Directions Write a Review

NPPES record last updated: March 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Gearhart Md NPPES

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

PETER GEARHART MD (NPI 1669490959) is an individual obstetrics & gynecology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD417959) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Pennsylvania State University College Of Medicine (1998).

NPPES Registry Identity

NPI1669490959
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NamePETER GEARHARTCredential: MD
Location Address601 WALNUT ST, SUITE 925EPhiladelphia, PA 19106-3323
Mailing Address601 Walnut St, Suite 925ePhiladelphia, PA 19106-3323 · (215) 829-8000 · Fax (215) 615-0500
Phone(215) 829-8000
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1998
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 7, 2014
✔ NPI 1669490959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD417959
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
601 WALNUT ST, Philadelphia, PA 19106
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH57760PA
Medicare ID-Type Unspecified056332PA
Medicaid001901567PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Peter Gearhart 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 ID8628058450
PECOS Enrollment IDI20040722000795
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.

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19106 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

86.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.91
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

JENNIFER KIM MD
Ophthalmology
601 WALNUT ST, SUITE L30
PHILADELPHIA, PA 19106
Philadelphia County (215) 925-6402
DR. LAUREL S. LIPSHUTZ M.D.
Psychiatry & Neurology (Psychiatry)
601 WALNUT ST, THE CURTIS CENTER, SUITE 960W
PHILADELPHIA, PA 19106
Philadelphia County (215) 923-7851
HANNAH LYNN SINKS
Physical Therapist
601 WALNUT ST
PHILADELPHIA, PA 19106
Philadelphia County (215) 867-8753
HEMORRHOID CARE CENTERS, PC
Specialist
601 WALNUT ST, SUITE L55
PHILADELPHIA, PA 19106
Philadelphia County (215) 238-0220
RICHARD ATWATER BALDERSTON M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
601 WALNUT ST, SUITE L50
PHILADELPHIA, PA 19106
Philadelphia County (215) 409-9300
KAY & TABAS OPHTHALMOLOGY
Specialist
601 WALNUT ST, SUITE L30
PHILA, PA 19106
Philadelphia County (215) 925-6402
VAUGHAN C GRAVES MD
Dermatology
601 WALNUT ST, SUITE L90
PHILA, PA 19106
Philadelphia County (215) 238-1622
STEVEN ZAVODNICK M.D.
Psychiatry & Neurology (Psychiatry)
601 WALNUT ST, SUITE 960W
PHILADELPHIA, PA 19106
Philadelphia County (215) 592-7852

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 Gearhart's NPI number?

The NPI number for Peter Gearhart is 1669490959. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Peter Gearhart located?

Peter Gearhart practices at 601 Walnut St Suite 925E, Philadelphia, PA 19106. The listed phone number is (215) 829-8000.

What is Peter Gearhart's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Peter Gearhart enrolled in Medicare?

Yes. Peter Gearhart 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 Gearhart accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Peter Gearhart 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 Gearhart affiliated with any hospitals?

According to CMS data, Peter Gearhart is affiliated with Hospital Of Univ Of Pennsylvania and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Peter Gearhart was last updated on March 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.