DR. MARY C GESSNER-PETERSON (DO) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1861662884

DR. MARY C GESSNER-PETERSON (DO) is a healthcare provider. based in Alpine, California. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 20A1174 (CA). The NPI Number for DR. MARY C GESSNER-PETERSON (DO) is 1861662884

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY C GESSNER-PETERSON (DO)
NPI
1861662884
Phone
(619) 326-4445
Address
1730 Alpine Blvd Ste 109B
Enumeration Date
5 March 2008
Last Update Date
26 September 2018

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8015778678
Graduation Year
2005 (21 years ago)
PAC ID
9638200033
Group Practice PAC ID
6800220385
Professional Enrollment ID
I20200103002441
Address ID
UT843214020LO41XXX400X301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for DR. MARY C GESSNER-PETERSON (DO)

  • 1730 Alpine Blvd Ste 109B

    Alpine, CA 919013877

    Phone: (619) 326-4445

    Fax: (619) 722-1721

    Type: Location

  • Alpine, alpine, Alpine Boulevard, Glen Oaks, San Diego County, California, 91901, United States

    ALPINE, CA 919012276

    Phone: (619) 326-4445

    Type: Mailing

  • Alpine, Alpine Township, Kent County, Michigan, 49321, United States

    ALPINE, CA 919012276

    Phone: (619) 326-4445

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Lilly USA, LLC ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$20
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: 2020-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110607000169IInternal MedicineCATBD
I20200103002441IInternal MedicineUTTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes6,309790$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month1,520644$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,257493$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,156282$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month853360$0
View full utilization report →

Insurance plans in this area (ZIP 91901)

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Provider's Procedures

DR. MARY C GESSNER-PETERSON (DO) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINECA71010X-ray of chest, 1 view, front2323
INTERNAL MEDICINECA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report177169

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: 6800220385View full group profile
NameSpecialtyState
Physician AssistantUT

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Frequently asked questions

What is the registry number for DR. MARY C GESSNER-PETERSON (DO)?
The registry entry for DR. MARY C GESSNER-PETERSON (DO) shows NPI 1861662884.
Is DR. MARY C GESSNER-PETERSON (DO)'s NPI status active today?
Active status means DR. MARY C GESSNER-PETERSON (DO)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. MARY C GESSNER-PETERSON (DO)?
NPPES ties DR. MARY C GESSNER-PETERSON (DO) to Emergency Medical Services (Emergency Medicine) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MARY C GESSNER-PETERSON (DO)?
DR. MARY C GESSNER-PETERSON (DO) is associated with Alpine, California in the same public data insurers reference.
Why is information missing for DR. MARY C GESSNER-PETERSON (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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