1. Home
  2. Directory
  3. Pennsylvania
  4. Erie
  5. Family Medicine
  6. NPI Profile

GARY LAVERN PETERSON JR. DO
NPI 1932364924
Family Medicine in Erie, PA

Active since July 19, 2008PECOS EnrolledAccepts Medicare Assignment
5637 PEACH ST, ERIE, PA 16509(814) 864-0690(814) 866-5147 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 31, 2023, Jan 5, 2017 (2 updates tracked since 2017).

About Gary Lavern Peterson Jr. Do NPPES

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

GARY LAVERN PETERSON JR. DO (NPI 1932364924) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OS015170) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Millcreek Community Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2007).

NPPES Registry Identity

NPI1932364924
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGARY LAVERN PETERSON JR.Credential: DO
Location Address5637 PEACH STErie, PA 16509-2605
Mailing Address1 Lecom PlErie, PA 16505-2571 · Fax (814) 868-2522
Phone(814) 864-0690
Fax(814) 866-5147
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2007
Enumeration DateJuly 19, 2008
Last NPPES UpdateMay 31, 20232 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
✔ NPI 1932364924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS015170
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5637 PEACH ST, Erie, PA 16509
Open in Google Maps ↗

Other Identifiers 2

Medicaid1024750790001PA
Medicaid1024750790002PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Gary Lavern Peterson Jr. 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 ID1658563804
PECOS Enrollment IDI20101007000186
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

2

Medicare enrollment records show Gary Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Millcreek Community Hospital
Same address
Family Medicine
5637 PEACH ST
Erie, PA 16509
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3 clinicians in this Medicare group
NPI 1053198382 (814) 864-0690
Medical Associates Of Erie
0.3 mi
Family Medicine
1589 W 54TH ST
Erie, PA 16509
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 69 clinicians in this Medicare group
NPI 1568580629 (814) 864-0690

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 2

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 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.
34 services19 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Millcreek Community Hospital

Acute Care Hospitals · Erie, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390198
Location5515 Peach StreetErie, PA 16509 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16509 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%25 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 5

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

MILLCREEK COMMUNITY HOSPITAL
Family Medicine
5637 PEACH ST
ERIE, PA 16509
Erie County (814) 864-0690
MILLCREEK COMMUNITY HOSPITAL
Family Medicine
5637 PEACH ST
ERIE, PA 16509
Erie County (814) 864-0690
MEDICAL ASSOCIATES OF ERIE, INC.
Non-Pharmacy Dispensing Site
5637 PEACH ST
ERIE, PA 16509
Erie County (814) 864-0690
MEDICAL ASSOCIATES OF ERIE
Clinic/Center (Primary Care)
5637 PEACH ST
ERIE, PA 16509
Erie County (814) 864-0690
FRANK MARK TURSI DO
Family Medicine
5637 PEACH ST
ERIE, PA 16509
Erie County (814) 864-0690

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 Gary Peterson's NPI number?

The NPI number for Gary Peterson is 1932364924. It was assigned to this individual provider in the NPPES registry on July 19, 2008.

Where is Gary Peterson located?

Gary Peterson practices at 5637 Peach St, Erie, PA 16509. The listed phone number is (814) 864-0690.

What is Gary Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gary Peterson enrolled in Medicare?

Yes. Gary 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.

Which organizations bill Medicare for Gary Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Peterson reassigns Medicare benefits to 2 organizations: Millcreek Community Hospital (Erie, PA) and Medical Associates Of Erie (Erie, PA). 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 Gary Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Peterson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Gary 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 Gary Peterson affiliated with any hospitals?

According to CMS data, Gary Peterson is affiliated with Millcreek Community Hospital.

When was this NPI record last updated?

The NPPES record for Gary Peterson was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.