1. Home
  2. Directory
  3. Pennsylvania
  4. Butler
  5. Internal Medicine
  6. NPI Profile

DR. PETER MATTHEW SYLVES D.O.
NPI 1952350407
Internal Medicine in Butler, PA

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
116 WOODY DR, BUTLER, PA 16001(724) 287-8500(724) 287-4128 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Peter Matthew Sylves D.o. NPPES

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

DR. PETER MATTHEW SYLVES D.O. (NPI 1952350407) is an individual internal medicine provider in Butler, Pennsylvania, licensed in Pennsylvania (OS013645) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Butler Memorial Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2003).

NPPES Registry Identity

NPI1952350407
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PETER MATTHEW SYLVESCredential: D.O.
Location Address116 WOODY DRButler, PA 16001-5692
Mailing AddressPo Box 1549Butler, PA 16003-1549 · (724) 287-8500 · Fax (724) 287-4128
Phone(724) 287-8500
Fax(724) 287-4128
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2003
Enumeration DateMay 10, 2006
Last NPPES UpdateFebruary 8, 2018
✔ NPI 1952350407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OS013645
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
116 WOODY DR, Butler, PA 16001
Open in Google Maps ↗

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

Dr. Peter Matthew Sylves D.o. 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 ID8729091913
PECOS Enrollment IDI20180221002389
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 Reassignment

Medicare enrollment records show Peter Sylves reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Butler Medical Providers
0.6 mi
Orthopaedic Surgery
480 E JEFFERSON ST, SUITE B
Butler, PA 16001
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 482 clinicians in this Medicare group
NPI 1245629617 (833) 604-7214

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 8

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.
152 services106 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.
122 services82 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.
91 services91 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
49 services49 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
40 services40 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims23 services$5.25 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers21 claims21 services$34.51 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers25 claims25 services$67.36 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers24 claims64 services$28.44 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers15 claims86 services$13.78 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers22 claims22 services$52.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

BUTLER FAMILY PRACTICE
Family Medicine
116 WOODY DR
BUTLER, PA 16001
Butler County (724) 287-8500
MR. DANIEL F SUNDIE P.T.
Physical Therapist
116 WOODY DR
BUTLER, PA 16001
Butler County (724) 283-7177
MRUNALI LUKE MD
Family Medicine
116 WOODY DR
BUTLER, PA 16001
Butler County (833) 604-7215
STACEY M CURRAN D.O.
Family Medicine
116 WOODY DR
BUTLER, PA 16001
Butler County (724) 287-8500
DR. GERALD CHRISTOPHER EDDIS JR.
Student in an Organized Health Care Education/Training Program
116 WOODY DR
BUTLER, PA 16001
Butler County (833) 604-0435
ALEXYS ALLEN MD
Family Medicine
116 WOODY DR
BUTLER, PA 16001
Butler County (833) 604-0435
RACHEL A CATALDO MD
Student in an Organized Health Care Education/Training Program
116 WOODY DR
BUTLER, PA 16001
Butler County (833) 604-0435
DR. DAVID ANTHONY KLODOWSKI MD, MPH
Psychiatry & Neurology (Neurology)
116 WOODY DR
BUTLER, PA 16001
Butler County (833) 995-0117

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 Sylves's NPI number?

The NPI number for Peter Sylves is 1952350407. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Peter Sylves located?

Peter Sylves practices at 116 Woody Dr, Butler, PA 16001. The listed phone number is (724) 287-8500.

What is Peter Sylves's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Peter Sylves enrolled in Medicare?

Yes. Peter Sylves 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 organization bills Medicare for Peter Sylves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Sylves reassigns Medicare benefits to Butler Medical Providers (Butler, PA). The 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 Peter Sylves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Sylves accept?

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

According to CMS data, Peter Sylves is affiliated with Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Peter Sylves was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.