PETER T HALLOWELL MD
NPI 1689696809
Surgery in Charlottesville, VA

Q: What is Peter Hallowell's NPI number?

The NPI number for Peter Hallowell is 1689696809. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Peter Hallowell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Hallowell was last updated on July 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 24, 2006PECOS EnrolledAccepts Medicare Assignment

79.39/100

CMS Quality Rating

1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903(434) 924-2150(434) 243-9433 Get Directions Write a Review

NPPES record last updated: July 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2021, Oct 12, 2020 (2 updates tracked since 2020).

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About Peter T Hallowell Md NPPES

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

PETER T HALLOWELL MD (NPI 1689696809) is an individual surgery provider in Charlottesville, Virginia, licensed in Virginia (0101244376) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of Howard University College Of Medicine (1994).

NPPES Registry Identity

NPI1689696809

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NamePETER T HALLOWELLCredential: MD

Location Address1300 JEFFERSON PARK AVECharlottesville, VA 22903-3363

Mailing AddressPo Box 9007Charlottesville, VA 22906-9007

Phone(434) 924-2150

Fax(434) 243-9433

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 1994

Enumeration DateJuly 24, 2006

Last NPPES UpdateJuly 31, 20212 updates tracked since enumeration

NPPES CertifiedJuly 31, 2021

✔ NPI 1689696809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in VA · 0101244376✔ Licensed in OH · 35-070624

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1300 JEFFERSON PARK AVE, Charlottesville, VA 22903

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Other Identifiers 8

Other000000503725Anthem

Other363607OH · Wellcare

Other000000204800OH · Unison

Other7911277Aetna

Medicaid1689696809VA

Medicaid2270251OH

Other738059OH · Buckeye

OtherP00120698OH · Railroad Medicare - Uhpl

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 T Hallowell 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 ID4688667470

PECOS Enrollment IDI20090107000566

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 3

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 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.

57 services41 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.

23 services21 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.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number490009

Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

79.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.66

Promoting Interoperability

100

Improvement Activities

Cost

57.65

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.

AHMED A AHMED MD

Ophthalmology