PETER THOMAS EISENHAUER JR. MD
NPI 1801419551
Internal Medicine in Wellsboro, PA

Active since May 28, 2020PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
110 PLAZA LN, WELLSBORO, PA 16901(570) 724-4241 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 21, 2023, May 28, 2020 (2 updates tracked since 2020).

About Peter Thomas Eisenhauer Jr. Md NPPES

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

PETER THOMAS EISENHAUER JR. MD (NPI 1801419551) is an individual internal medicine provider in Wellsboro, Pennsylvania, licensed in Pennsylvania (MD480212) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Corning Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1801419551
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePETER THOMAS EISENHAUER JR.Credential: MD
Location Address110 PLAZA LNWellsboro, PA 16901-1773
Mailing Address110 Plaza LnWellsboro, PA 16901-1773
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 28, 2020
Last NPPES UpdateJune 21, 20232 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
NPI 1801419551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in PA · MD480212 Licensed in NY · 321716
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

110 PLAZA LN, Wellsboro, PA 16901

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 Thomas Eisenhauer Jr. 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 ID941621650
PECOS Enrollment IDI20230823001551
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 11

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.
413 services179 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
266 services151 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.
170 services128 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
91 services24 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
76 services76 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
63 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Corning Hospital

Acute Care Hospitals · Corning, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330277
Location1 Guthrie DriveCorning, NY 14830 · Steuben County
Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

Troy Community Hospital

Critical Access Hospitals · Troy, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391305
Location275 Guthrie DriveTroy, PA 16947 · Bradford County
Emergency services

Upmc Wellsboro

Critical Access Hospitals · Wellsboro, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391316
Location32-36 Central AvenueWellsboro, PA 16901 · Tioga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16901 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

Other Providers at the Same Location NPPES 13

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

Family Medicine
110 PLAZA LN
WELLSBORO, PA 16901
Family Medicine
110 PLAZA LN
WELLSBORO, PA 16901
Physician Assistant
110 PLAZA LN
WELLSBORO, PA 16901
Family Medicine
110 PLAZA LN
WELLSBORO, PA 16901
Family Medicine
110 PLAZA LN
WELLSBORO, PA 16901
Nurse Practitioner (Family)
110 PLAZA LN
WELLSBORO, PA 16901
Family Medicine
110 PLAZA LN
WELLSBORO, PA 16901
Physician Assistant (Medical)
110 PLAZA LN
WELLSBORO, PA 16901

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 Eisenhauer's NPI number?

The NPI number for Peter Eisenhauer is 1801419551. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is Peter Eisenhauer located?

Peter Eisenhauer practices at 110 Plaza Ln, Wellsboro, PA 16901. The listed phone number is (570) 724-4241.

What is Peter Eisenhauer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Peter Eisenhauer enrolled in Medicare?

Yes. Peter Eisenhauer 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 Eisenhauer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Peter Eisenhauer 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 Eisenhauer affiliated with any hospitals?

According to CMS data, Peter Eisenhauer is affiliated with Corning Hospital, Robert Packer Hospital, Troy Community Hospital and Upmc Wellsboro.

When was this NPI record last updated?

The NPPES record for Peter Eisenhauer was last updated on June 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.