PETER L SERAPHIN DO
NPI 1831204734
Internal Medicine - Gastroenterology in Hinsdale, IL

Q: What is Peter Seraphin's NPI number?

The NPI number for Peter Seraphin is 1831204734. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Q: What is Peter Seraphin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Peter Seraphin was last updated on September 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment

85.09/100

CMS Quality Rating

12 SALT CREEK LN, SUITE 425, HINSDALE, IL 60521(630) 789-2260(630) 789-1584 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Peter L Seraphin Do NPPES

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

PETER L SERAPHIN DO (NPI 1831204734) is an individual gastroenterology provider in Hinsdale, Illinois, licensed in Illinois (036107633) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Adventist La Grange Memorial Hospital, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2000).

NPPES Registry Identity

NPI1831204734

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NamePETER L SERAPHINCredential: DO

Location Address12 SALT CREEK LN, SUITE 425Hinsdale, IL 60521-8605

Mailing Address12 Salt Creek Ln, Suite 425Hinsdale, IL 60521-8605 · (630) 789-2260 · Fax (630) 789-1584

Phone(630) 789-2260

Fax(630) 789-1584

Sole ProprietorNo

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2000

Enumeration DateAugust 20, 2006

Last NPPES UpdateSeptember 16, 2015

✔ NPI 1831204734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IL · 036107633

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

12 SALT CREEK LN, Hinsdale, IL 60521

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Other Identifiers 1

Other362658747IL · Federal Tax Id

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 L Seraphin Do 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 ID1951301332

PECOS Enrollment IDI20070109000281

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 13

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

261 services261 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.

228 services196 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

216 services96 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

132 services131 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

93 services89 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.

81 services81 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

76 services76 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

51 services51 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

45 services45 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

42 services33 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

38 services38 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

15 services15 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140065

Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County

Emergency services

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140122

Location120 North Oak StHinsdale, IL 60521 · Du Page County

Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140276

Location2160 S 1st AvenueMaywood, IL 60153 · Cook County

Emergency services Birthing friendly

Uchicago Medicine Adventhealth Bolingbrook

Acute Care Hospitals · Bolingbrook, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140304

Location500 Remington BoulevardBolingbrook, IL 60440 · Will County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60521 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

85.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.16

Promoting Interoperability

Improvement Activities

Cost

77.98

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

31%514 patients2/55-star benchmark: 85%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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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.

HINSDALE GASTROENTEROLOGY ASSOCIATES, SC

Internal Medicine (Gastroenterology)

12 SALT CREEK LN, SUITE 425
HINSDALE, IL 60521

Dupage County (630) 789-2260

ADVENTIST HEALTH PARTNERS, INC

Otolaryngology (Pediatric Otolaryngology)

12 SALT CREEK LN, STE 106
HINSDALE, IL 60521

Dupage County (630) 981-0032

DR. SHIVANI PANKAJ SHAH MD

Pediatrics (Pediatric Endocrinology)

12 SALT CREEK LN, SUITE 106
HINSDALE, IL 60521

Dupage County (630) 856-2731

DR. HELENA MUIRRAGUI MD

Psychiatry & Neurology (Psychiatry)

12 SALT CREEK LN, SUITE 405
HINSDALE, IL 60521

Dupage County (630) 789-7800

DR. BRIANNA YOUNG AU.D.

Audiologist

12 SALT CREEK LN, SUITE 106
HINSDALE, IL 60521

Dupage County (630) 981-0032

GOOD HOPE BEHAVIORAL HEALTH

Clinic/Center (Adult Mental Health)

12 SALT CREEK LN, SUITE 405
HINSDALE, IL 60521

Dupage County (630) 789-7800

MRS. JODI A FALEY LCSW

Social Worker (Clinical)

12 SALT CREEK LN, SUITE 310
HINSDALE, IL 60521

Dupage County (630) 789-7800

DR. WAFIK A HANNA M.D.

Specialist

12 SALT CREEK LN, SUITE 225
HINSDALE, IL 60521

Dupage County (630) 887-8180

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 Seraphin's NPI number?

The NPI number for Peter Seraphin is 1831204734. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Peter Seraphin located?

Peter Seraphin practices at 12 Salt Creek Ln Suite 425, Hinsdale, IL 60521. The listed phone number is (630) 789-2260.

What is Peter Seraphin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Peter Seraphin enrolled in Medicare?

Yes. Peter Seraphin 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.

Is Peter Seraphin affiliated with any hospitals?

According to CMS data, Peter Seraphin is affiliated with Adventist La Grange Memorial Hospital, Adventist Hinsdale Hospital, Loyola University Medical Center and Uchicago Medicine Adventhealth Bolingbrook.

When was this NPI record last updated?

The NPPES record for Peter Seraphin was last updated on September 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.