PETER MARIANI MD
NPI 1679520514
Internal Medicine - Pulmonary Disease in Kenosha, WI

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
6308 8TH AVENUE, SUITE 108, KENOSHA, WI 53143(262) 653-5360(262) 653-5357 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peter Mariani Md NPPES

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

PETER MARIANI MD (NPI 1679520514) is an individual pulmonary disease provider in Kenosha, Wisconsin, licensed in Wisconsin (23819) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (1975).

NPPES Registry Identity

NPI1679520514
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NamePETER MARIANICredential: MD
Location Address6308 8TH AVENUE, SUITE 108Kenosha, WI 53143
Mailing Address6308 8th Avenue, Suite 108Kenosha, WI 53143 · (262) 653-5360 · Fax (262) 653-5357
Fax(262) 653-5357
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateMay 27, 2006
Last NPPES UpdateJuly 6, 2010
NPI 1679520514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in WI · 23819
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 23819 (WI)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 23819 (WI)
6308 8TH AVENUE, Kenosha, WI 53143

Other Identifiers 4

Medicare UPINB54824
Medicaid30410600WI
Medicare PIN002432250WI
Other290007018Medicare Railroad

Accepted 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 Mariani 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 ID6103019062
PECOS Enrollment IDI20101022001361
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 4

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.

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.
118 services70 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
87 services66 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
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.

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53143 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
1 supplier11 claims66 services$12.64 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
1 supplier19 claims19 services$44.74 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
1 supplier13 claims13 services$15.97 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
1 supplier21 claims21 services$8.69 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier20 claims120 services$1.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Radiology (Diagnostic Radiology)
6308 8TH AVENUE, UHS KENOSHA CAMPUS
KENOSHA, WI 53143
Nurse Practitioner
6308 8TH AVENUE, STE 202
KENOSHA, WI 53143
Family Medicine
6308 8TH AVENUE, SUITE 2000
KENOSHA, WI 53143
Internal Medicine
6308 8TH AVENUE, SUITE 2000
KENOSHA, WI 53143
Internal Medicine (Nephrology)
6308 8TH AVENUE, SUITE 2000
KENOSHA, WI 53143
Internal Medicine (Rheumatology)
6308 8TH AVENUE, SUITE 108
KENOSHA, WI 53143
Internal Medicine (Geriatric Medicine)
6308 8TH AVENUE, STE 2000
KENOSHA, WI 53143
Internal Medicine
6308 8TH AVENUE
KENOSHA, WI 53143

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 Mariani's NPI number?

The NPI number for Peter Mariani is 1679520514. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Peter Mariani located?

Peter Mariani practices at 6308 8th Avenue Suite 108, Kenosha, WI 53143. The listed phone number is (262) 653-5360.

What is Peter Mariani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Peter Mariani enrolled in Medicare?

Yes. Peter Mariani 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 Mariani accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Peter Mariani 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 Mariani affiliated with any hospitals?

According to CMS data, Peter Mariani is affiliated with Froedtert South Inc. and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Peter Mariani was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.