BRYAN JEFFREY PERALTA
NPI 1801379490
Nurse Practitioner - Acute Care in Smithsburg, MD

Active since September 11, 2018PECOS EnrolledAccepts Medicare Assignment
22911 JEFFERSON BLVD, SMITHSBURG, MD 21783(301) 824-3343 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 11, 2019, May 28, 2019, Sep 11, 2018 (3 updates tracked since 2018).

About Bryan Jeffrey Peralta NPPES

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

BRYAN JEFFREY PERALTA (NPI 1801379490) is an individual acute care provider in Smithsburg, Maryland, licensed in Maryland (R197653) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801379490
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameBRYAN JEFFREY PERALTA
Location Address22911 JEFFERSON BLVDSmithsburg, MD 21783-1617
Mailing Address18415 Wissett WayHagerstown, MD 21740-1699 · (570) 898-4682
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 11, 2018
Last NPPES UpdateDecember 11, 20193 updates tracked since enumeration
✔ NPI 1801379490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MD · R197653
22911 JEFFERSON BLVD, Smithsburg, MD 21783

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryan Jeffrey Peralta 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 ID2466704648
PECOS Enrollment IDI20181017000310
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Bryan Peralta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
11110 MEDICAL CAMPUS RD
Hagerstown, MD 21742
  • Reassigned Medicare billing, Maryland enrollment
  • 242 clinicians in this Medicare group
Hospitalist
11116 MEDICAL CAMPUS RD
Hagerstown, MD 21742
  • Reassigned Medicare billing, Maryland enrollment
  • 91 clinicians in this Medicare group
Urgent Care
13620 CRAYTON BLVD
Hagerstown, MD 21742
  • Reassigned Medicare billing, Maryland enrollment
  • 64 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
174 services117 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.
65 services62 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
19 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21783 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Other Providers at the Same Location NPPES 12

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

Physician Assistant (Medical)
22911 JEFFERSON BLVD
SMITHSBURG, MD 21783
Physician Assistant
22911 JEFFERSON BLVD
SMITHSBURG, MD 21783
Pediatrics
22911 JEFFERSON BLVD
SMITHSBURG, MD 21783
Pediatrics
22911 JEFFERSON BLVD
SMITHSBURG, MD 21783
Physician Assistant
22911 JEFFERSON BLVD
SMITHSBURG, MD 21783
Internal Medicine
22911 JEFFERSON BLVD
SMITHSBURG, MD 21783
Family Medicine
22911 JEFFERSON BLVD
SMITHSBURG, MD 21783
Internal Medicine
22911 JEFFERSON BLVD
SMITHSBURG, MD 21783

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 Bryan Peralta's NPI number?

The NPI number for Bryan Peralta is 1801379490. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Bryan Peralta located?

Bryan Peralta practices at 22911 Jefferson Blvd, Smithsburg, MD 21783. The listed phone number is (301) 824-3343.

What is Bryan Peralta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Bryan Peralta enrolled in Medicare?

Yes. Bryan Peralta 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.

Which organizations bill Medicare for Bryan Peralta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Peralta reassigns Medicare benefits to 3 organizations: Medical Practices Of Antietam LLC (Hagerstown, MD), Mdics At Meritus Medical Center, LLC (Hagerstown, MD) and Meritus Urgent Care, LLC (Hagerstown, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Peralta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bryan Peralta was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.