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PETER I ROSSI MD
NPI 1750373759
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Valparaiso, IN

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
67.77/100
CMS Quality Rating
85 E US HIGHWAY 6 STE 310, VALPARAISO, IN 46383(219) 983-6380(219) 983-6080 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter I Rossi Md NPPES

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

PETER I ROSSI MD (NPI 1750373759) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Valparaiso, Indiana, licensed in Indiana (01056380A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Mclaren Flint, and maintains a secondary practice location in Urbana.

NPPES Registry Identity

NPI1750373759
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NamePETER I ROSSICredential: MD
Location Address85 E US HIGHWAY 6 STE 310Valparaiso, IN 46383-8948
Mailing AddressP.o. Box 6002Urbana, IL 61803-6002 · (217) 326-8300 · Fax (260) 373-4167
Phone(219) 983-6380
Fax(219) 983-6080
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1992
Enumeration DateAugust 17, 2005
Last NPPES UpdateMarch 17, 2018
✔ NPI 1750373759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in IN · 01056380A
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
85 E US HIGHWAY 6 STE 310, Valparaiso, IN 46383
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Secondary Practice Location 1

Location 1602 W. University Avenue, Cardiovascular and Thoracic SurgeryUrbana, IL 61801 · Phone (217) 383-3810 · Fax (217) 383-4910

Other Identifiers 2

Medicaid200380940IN
OtherP00229183IN · Rail Road Medicare #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 I Rossi 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 ID3971549049
PECOS Enrollment IDI20241029004387
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.

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.
20 services20 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.
20 services19 patients
Removal of blood clot and portion of chest, neck, or brain artery 35301
This procedure involves the removal of a blood clot and a section of an artery in the chest, neck, or brain. It is often necessary to restore normal blood flow, prevent stroke, or alleviate symptoms related to the clot. The procedure is carried out by a skilled medical team.
18 services17 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Mclaren Flint

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230141
Location401 S Ballenger HighwayFlint, MI 48532 · Genesee County
Emergency services Birthing friendly

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46383 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

67.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.71
Promoting Interoperability85
Improvement Activities40
Cost58.37

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
23%35 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
43%113 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%631 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
44%141 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
72%199 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 53 patients
85%53 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

MS. ROBIN RENAE TUDOR MMS, PA-C
Physician Assistant
85 E US HIGHWAY 6 STE 310
VALPARAISO, IN 46383
Porter County (219) 983-6380

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 Rossi's NPI number?

The NPI number for Peter Rossi is 1750373759. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Peter Rossi located?

Peter Rossi practices at 85 E Us Highway 6 Ste 310, Valparaiso, IN 46383. The listed phone number is (219) 983-6380.

What is Peter Rossi's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Peter Rossi enrolled in Medicare?

Yes. Peter Rossi 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 Rossi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Peter Rossi 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 Rossi affiliated with any hospitals?

According to CMS data, Peter Rossi is affiliated with Mclaren Flint and Mclaren Greater Lansing.

When was this NPI record last updated?

The NPPES record for Peter Rossi was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.