TAYLOR J PETERSON PA-C
NPI 1962024265
Physician Assistant in Lima, OH

Q: What is Taylor Peterson's NPI number?

The NPI number for Taylor Peterson is 1962024265. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Q: What is Taylor Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Taylor Peterson was last updated on July 2, 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.

Active since May 11, 2020PECOS EnrolledAccepts Medicare Assignment

1005 BELLEFONTAINE AVE STE 225, LIMA, OH 45804(419) 998-8276(419) 998-8277 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2021, May 11, 2020 (2 updates tracked since 2020).

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About Taylor J Peterson Pa-c NPPES

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

TAYLOR J PETERSON PA-C (NPI 1962024265) is an individual physician assistant in Lima, Ohio, licensed in Ohio (50.006906RX) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and maintains a secondary practice location in Wapakoneta.

NPPES Registry Identity

NPI1962024265

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTAYLOR J PETERSONCredential: PA-C

Location Address1005 BELLEFONTAINE AVE STE 225Lima, OH 45804-2896

Mailing Address1001 Bellefontaine AveLima, OH 45804-2800 · (419) 998-4575 · Fax (419) 998-4586

Phone(419) 998-8276

Fax(419) 998-8277

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 11, 2020

Last NPPES UpdateJuly 2, 20212 updates tracked since enumeration

NPPES CertifiedJuly 2, 2021

✔ NPI 1962024265 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 · 50.006906RX

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.

1005 BELLEFONTAINE AVE STE 225, Lima, OH 45804

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Secondary Practice Location 1

Location 1602 W Redskin TrlWapakoneta, OH 45895-9349 · Phone (419) 998-8276 · Fax (419) 998-8277

Accepted Insurance

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

Taylor J 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 ID7911315932

PECOS Enrollment IDI20210412002241

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 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.

59 services56 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.

42 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360009

Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County

Emergency services Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360066

Location730 West Market StreetLima, OH 45801 · Allen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45804 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.

Other Providers at the Same Location NPPES 6

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

LIMA MEMORIAL PROFESSIONAL CORPORATION

Urology