MICHAEL B PETERS JR. MD
NPI 1841221041
Surgery in Newark, DE

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
62.02/100
CMS Quality Rating
537 STANTON CHRISTIANA RD, SUITE 102, NEWARK, DE 19713(302) 892-9900(302) 892-9980 Get Directions Write a Review

NPPES record last updated: April 18, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael B Peters Jr. Md NPPES

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

MICHAEL B PETERS JR. MD (NPI 1841221041) is an individual surgery provider in Newark, Delaware, licensed in Delaware (DE-C1-0007290) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1998).

NPPES Registry Identity

NPI1841221041
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL B PETERS JR.Credential: MD
Location Address537 STANTON CHRISTIANA RD, SUITE 102Newark, DE 19713-2146
Mailing Address537 Stanton Christiana Rd, Suite 102Newark, DE 19713-2146 · (302) 892-9900 · Fax (302) 892-9980
Fax(302) 892-9980
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1998
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 18, 2014
✔ NPI 1841221041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in DE · DE-C1-0007290
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
537 STANTON CHRISTIANA RD, Newark, DE 19713

Other Identifiers 2

Medicare PIN014305YEVDDE
Medicare PIN014305C53DE

Accepted 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

Michael B Peters 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 ID4082600531
PECOS Enrollment IDI20040709000287
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 Michael Peters reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
537 STANTON CHRISTIANA ROAD, STE 102
Newark, DE 19713
  • Reassigned Medicare billing, Delaware enrollment
  • 9 clinicians in this Medicare group
Emergency Medicine
324 E MAIN ST
Newark, DE 19711
  • Reassigned Medicare billing, Delaware enrollment
  • 18 clinicians in this Medicare group
Internal Medicine
324 E MAIN ST
Newark, DE 19711
  • Reassigned Medicare billing, Delaware enrollment
  • 9 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 5

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.
105 services65 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.
27 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 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.
20 services20 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

62.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.03
Promoting Interoperability0
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Dermatology
537 STANTON CHRISTIANA RD, SUITE # 207
NEWARK, DE 19713
Physician Assistant
537 STANTON CHRISTIANA RD
NEWARK, DE 19713
Nurse Practitioner (Family)
537 STANTON CHRISTIANA RD, SUITE 201
NEWARK, DE 19713
Physician Assistant (Medical)
537 STANTON CHRISTIANA RD, SUITES 107,111,207 & 209
NEWARK, DE 19713
Dentist (General Practice)
537 STANTON CHRISTIANA RD, SUITE 211
NEWARK, DE 19713
Surgery
537 STANTON CHRISTIANA RD, SUITE 102
NEWARK, DE 19713
Internal Medicine (Rheumatology)
537 STANTON CHRISTIANA RD, SUITE 212
NEWARK, DE 19713
Surgery
537 STANTON CHRISTIANA RD, SUITE 102
NEWARK, DE 19713

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 Michael Peters's NPI number?

The NPI number for Michael Peters is 1841221041. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Michael Peters located?

Michael Peters practices at 537 Stanton Christiana Rd Suite 102, Newark, DE 19713. The listed phone number is (302) 892-9900.

What is Michael Peters's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Peters enrolled in Medicare?

Yes. Michael Peters 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 Michael Peters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Peters reassigns Medicare benefits to 3 organizations: Christiana Institute Of Advanced Surgery, PA (Newark, DE), Newark Emergency Center (Newark, DE) and Newark Emergency Medical Providers LLC (Newark, DE). 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 Michael Peters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Peters accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Michael Peters 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 Michael Peters was last updated on April 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.