PETER GORYNSKI (PA-C) – Physician Assistant, NPI 1255737847

PETER GORYNSKI (PA-C) is a healthcare provider. based in La mesa, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA54335 (CA). The NPI Number for PETER GORYNSKI (PA-C) is 1255737847

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
PETER GORYNSKI (PA-C)
NPI
1255737847
Phone
(858) 554-7439
Address
10862 CALLE VERDE
Enumeration Date
10 November 2014
Last Update Date
25 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8587643000
Graduation Year
2014 (12 years ago)
PAC ID
8022322429
Group Practice PAC ID
9234033853
Professional Enrollment ID
I20180105001123
Address ID
CA921303318SA3811XDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for PETER GORYNSKI (PA-C)

  • 10862 CALLE VERDE

    LA MESA, CA 919417340

    Phone: (858) 554-7439

    Type: Location

  • 160 FEDERAL STREET

    9TH FLOOR

    BOSTON, MA 02110

    Phone:

    Type: Mailing

  • 115 LINCOLN STREET

    FRAMINGHAM, MA 01702

    Phone: (508) 383-1000

    Type: Location

  • 10790 RANCHO BERNARDO RD

    SAN DIEGO, CA 921275705

    Phone: (858) 554-7439

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $244.

Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.

Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Medtronic, Inc. ($158).

Total Amount

$244

General + Research + Ownership

Payments

5

Total payment records

General Amount

$244

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180105001123IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making3030$0
99283Emergency department visit with low level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 91941)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234033853View full group profile
NameSpecialtyState
N E U R O L O G YCA
-CA
Family PracticeCA
-CA
Internal MedicineCA
Emergency MedicineCA
Physician AssistantCA
-CA
Cardiovascular Disease (Cardiology), Internal MedicineCA
-CA

Reviews

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Frequently asked questions

What identifier follows PETER GORYNSKI (PA-C) across health systems?
The NPI 1255737847 uniquely identifies PETER GORYNSKI (PA-C) in U.S. healthcare data.
Should I treat PETER GORYNSKI (PA-C) as an active provider?
Patients and plans typically see PETER GORYNSKI (PA-C) as active in the national extract.
What does the directory say PETER GORYNSKI (PA-C) does?
Insurance directories may phrase it differently, but here PETER GORYNSKI (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to PETER GORYNSKI (PA-C)?
The directory associates PETER GORYNSKI (PA-C) with La Mesa, California. Check all listed addresses for suites or satellite offices.
Can I export PETER GORYNSKI (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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