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DR. PETER MCCUNNIFF MD
NPI 1760802565
Orthopaedic Surgery in Peoria, AZ

Active since April 18, 2014PECOS Enrolled
87.81/100
CMS Quality Rating
13128 N 94TH DR STE 100, PEORIA, AZ 85381(480) 573-0130(480) 573-0131 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2026, Jul 9, 2019, Feb 1, 2016 (3 updates tracked since 2016).

About Dr. Peter Mccunniff Md NPPES

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

DR. PETER MCCUNNIFF MD (NPI 1760802565) is an individual orthopaedic surgery provider in Peoria, Arizona, licensed in Arizona (57581) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1760802565
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PETER MCCUNNIFFCredential: MD
Location Address13128 N 94TH DR STE 100Peoria, AZ 85381-4252
Mailing Address2525 W Greenway Rd Ste 300Phoenix, AZ 85023-4292 · (480) 573-0130 · Fax (480) 573-0131
Phone(480) 573-0130
Fax(480) 573-0131
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 18, 2014
Last NPPES UpdateMarch 10, 20263 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1760802565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in AZ · 57581
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
13128 N 94TH DR STE 100, Peoria, AZ 85381
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Secondary Practice Locations 2

Location 113555 W McDowell Rd Ste 207Goodyear, AZ 85395-2628 · Phone (480) 573-0130 · Fax (480) 573-0131
Location 215571 N Reems Rd Bldg DSurprise, AZ 85374-9584 · Phone (480) 573-0130 · Fax (480) 573-0131

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. 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 (PECOS)

Dr. Peter Mccunniff Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002110129
PECOS Enrollment IDI20190916000286
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 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.

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.
73 services47 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.
72 services72 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.
39 services32 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.
18 services18 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
16 services11 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85381 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.22

Other Providers at the Same Location NPPES 4

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

IMPACT HEALTH SERVICES LLC
Clinic/Center (Ambulatory Surgical)
13128 N 94TH DR STE 100
PEORIA, AZ 85381
Maricopa County (623) 259-5900
TOTAL VASCULAR CARE CENTER, LLC
Clinic/Center (Ambulatory Surgical)
13128 N 94TH DR STE 100
PEORIA, AZ 85381
Maricopa County (623) 259-5900
DR. RICHARD NEVILLE M.D.
Surgery (Vascular Surgery)
13128 N 94TH DR STE 100
PEORIA, AZ 85381
Maricopa County (623) 259-5900
TOTAL VASCULAR CARE CENTER TWO LLC
Radiology (Vascular & Interventional Radiology)
13128 N 94TH DR STE 100
PEORIA, AZ 85381
Maricopa County (623) 259-5900

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 Mccunniff's NPI number?

The NPI number for Peter Mccunniff is 1760802565. It was assigned to this individual provider in the NPPES registry on April 18, 2014.

Where is Peter Mccunniff located?

Peter Mccunniff practices at 13128 N 94th Dr Ste 100, Peoria, AZ 85381. The listed phone number is (480) 573-0130.

What is Peter Mccunniff's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Peter Mccunniff enrolled in Medicare?

Yes. Peter Mccunniff is registered in the Medicare PECOS enrollment system.

What insurance does Peter Mccunniff accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Peter Mccunniff 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.

When was this NPI record last updated?

The NPPES record for Peter Mccunniff was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.