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DR. PETER T FILIPOV M.D.
NPI 1811990039
Ophthalmology in Salisbury, MD

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
69.29/100
CMS Quality Rating
31519 WINTERPLACE PKWY, STE 1, SALISBURY, MD 21804(410) 546-2500(410) 546-5005 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 8, 2021, Dec 4, 2020 (2 updates tracked since 2020).

About Dr. Peter T Filipov M.d. NPPES

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

DR. PETER T FILIPOV M.D. (NPI 1811990039) is an individual ophthalmology provider in Salisbury, Maryland, licensed in Maryland (D0047810) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of St. Louis College Of Physicians And Surgeons (1987).

NPPES Registry Identity

NPI1811990039
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PETER T FILIPOVCredential: M.D.
Location Address31519 WINTERPLACE PKWY, STE 1Salisbury, MD 21804-1884
Mailing Address31519 Winterplace Pkwy, Ste 1Salisbury, MD 21804-1884 · (410) 546-2500 · Fax (410) 546-5005
Phone(410) 546-2500
Fax(410) 546-5005
Sole ProprietorNo
Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 1987
Enumeration DateMay 23, 2005
Last NPPES UpdateMarch 8, 20212 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1811990039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in MD · D0047810✔ Licensed in DE · C1-0004945
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
31519 WINTERPLACE PKWY, Salisbury, MD 21804
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Other Identifiers 1

Medicaid691360100MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Dr. Peter T Filipov 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 ID7810920436
PECOS Enrollment IDI20050914000998, I20100309000114
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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,389 services1,340 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.
613 services466 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.
258 services214 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
246 services150 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
241 services160 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
166 services146 patients

Hospital Affiliations CMS Care Compare

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21804 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

69.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.91
Improvement Activities40
Cost17.75

Other Providers at the Same Location NPPES 7

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

AZAR/FILIPOV MD PA
Optometrist
31519 WINTERPLACE PKWY, SUITE 1
SALISBURY, MD 21804
Wicomico County (410) 546-2500
DR. JAMES F GALLAGHER M.D.
Ophthalmology
31519 WINTERPLACE PKWY, SUITE 1
SALISBURY, MD 21804
Wicomico County (410) 546-2500
AZAR EYE SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
31519 WINTERPLACE PKWY, STE 1
SALISBURY, MD 21804
Wicomico County (410) 546-2500
AZAR/FILIPOV MD PA
Ophthalmology
31519 WINTERPLACE PKWY, STE 1
SALISBURY, MD 21804
Wicomico County (410) 546-2500
DR. JASON MANH TU MD
Legal Medicine
31519 WINTERPLACE PKWY, SUITE 1
SALISBURY, MD 21804
Wicomico County (410) 546-2500
DR. TRACEY C BOSS O.D.
Optometrist
31519 WINTERPLACE PKWY, STE 1
SALISBURY, MD 21804
Wicomico County (410) 546-2500
DR. JENNIFER R GILES O.D.
Optometrist
31519 WINTERPLACE PKWY, STE 1
SALISBURY, MD 21804
Wicomico County (410) 546-2500

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 Filipov's NPI number?

The NPI number for Peter Filipov is 1811990039. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Peter Filipov located?

Peter Filipov practices at 31519 Winterplace Pkwy Ste 1, Salisbury, MD 21804. The listed phone number is (410) 546-2500.

What is Peter Filipov's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Peter Filipov enrolled in Medicare?

Yes. Peter Filipov 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 Filipov accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 7 other insurers list Peter Filipov 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 Filipov affiliated with any hospitals?

According to CMS data, Peter Filipov is affiliated with Tidalhealth Peninsula Regional, Inc.

When was this NPI record last updated?

The NPPES record for Peter Filipov was last updated on March 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.