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PETER JAMES PAPPAS M.D.
NPI 1801807748
Surgery - Vascular Surgery in Brooklyn, NY

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
240 WILLOUGHBY STREET, SUITE 5A, BROOKLYN, NY 11201(718) 250-6751(718) 250-6339 Get Directions Write a Review

NPPES record last updated: August 30, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peter James Pappas M.d. NPPES

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

PETER JAMES PAPPAS M.D. (NPI 1801807748) is an individual vascular surgery provider in Brooklyn, New York, licensed in New Jersey (25MA05254400) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1985).

NPPES Registry Identity

NPI1801807748
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NamePETER JAMES PAPPASCredential: M.D.
Location Address240 WILLOUGHBY STREET, SUITE 5ABrooklyn, NY 11201
Mailing Address121 Dekalb AveBrooklyn, NY 11201 · (718) 250-6751 · Fax (718) 250-6339
Phone(718) 250-6751
Fax(718) 250-6339
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1985
Enumeration DateAugust 9, 2006
Last NPPES UpdateAugust 30, 2013
✔ NPI 1801807748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in NJ · 25MA05254400
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
240 WILLOUGHBY STREET, SUITE 5A, Brooklyn, NY 11201
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING09506NJ
Medicare PIN786164NJ
Medicaid6612407NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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

Peter James Pappas M.d. 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 ID9931393741
PECOS Enrollment IDI20160114002193
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 Reassignment

Medicare enrollment records show Peter Pappas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Center For Vein Restoration Nj LLC
14 mi
Vascular Surgery
211 ESSEX ST STE 403
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 22 clinicians in this Medicare group
NPI 1710312699 (855) 830-8346

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 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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
161 services141 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.
150 services150 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
131 services79 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.
97 services77 patients
Ultrasound of abdomen and pelvis artery and vein blood flow 93976
An ultrasound of your abdomen and pelvis arteries and veins is a non-invasive procedure that uses sound waves to create images of your blood vessels. This helps in assessing the flow of blood, identifying blockages, or detecting other abnormalities. It's a safe, painless process.
41 services38 patients
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475
This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.
37 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11201 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

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 Pappas's NPI number?

The NPI number for Peter Pappas is 1801807748. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Peter Pappas located?

Peter Pappas practices at 240 Willoughby Street, Suite 5A, Brooklyn, NY 11201. The listed phone number is (718) 250-6751.

What is Peter Pappas's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Peter Pappas enrolled in Medicare?

Yes. Peter Pappas 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 organization bills Medicare for Peter Pappas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Pappas reassigns Medicare benefits to Center For Vein Restoration Nj LLC (Hackensack, NJ). The 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 Peter Pappas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Pappas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Peter Pappas 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 Pappas was last updated on August 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.