MICHAEL C PETERSON PA-C
NPI 1861542086
Physician Assistant in Mentor, OH

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
LHPG MENTOR FAMILY PRACTICE, 8655 MARKET STREET, MENTOR, OH 44060(440) 255-7938(440) 255-9196 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2021, Aug 16, 2018 (2 updates tracked since 2018).

About Michael C Peterson Pa-c NPPES

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

MICHAEL C PETERSON PA-C (NPI 1861542086) is an individual physician assistant in Mentor, Ohio, licensed in Ohio (50002538) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Lake Health, and maintains a secondary practice location in Rome.

NPPES Registry Identity

NPI1861542086
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL C PETERSONCredential: PA-C
Location AddressLHPG MENTOR FAMILY PRACTICE, 8655 MARKET STREETMentor, OH 44060
Mailing Address8655 Market StreetMentor, OH 44060-9404 · (440) 255-7938 · Fax (440) 255-9196
Fax(440) 255-9196
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 11, 2007
Last NPPES UpdateMarch 1, 20212 updates tracked since enumeration
NPPES CertifiedMarch 1, 2021
NPI 1861542086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50002538
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
LHPG MENTOR FAMILY PRACTICE, Mentor, OH 44060

Secondary Practice Location 1

Location 15266 State Route 45Rome, OH 44085-9404 · Phone (440) 563-5028 · Fax (440) 563-3044

Other Identifiers 1

Other50.002538OH · Ohio License

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

Michael C Peterson Pa-c 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 ID7113106998
PECOS Enrollment IDI20110125001297
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 4

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.
195 services116 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.
167 services126 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
65 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.
28 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Peterson's NPI number?

The NPI number for Michael Peterson is 1861542086. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Michael Peterson located?

Michael Peterson practices at Lhpg Mentor Family Practice 8655 Market Street, Mentor, OH 44060. The listed phone number is (440) 255-7938.

What is Michael Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Peterson enrolled in Medicare?

Yes. Michael Peterson 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 Michael Peterson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Michael Peterson 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 Michael Peterson affiliated with any hospitals?

According to CMS data, Michael Peterson is affiliated with Lake Health and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Peterson was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.