PETER IZZO (M.D.) – Family Medicine Physician, NPI 1063755700

PETER IZZO (M.D.) is a healthcare provider. based in Jackson, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. ME170463 (FL). The NPI Number for PETER IZZO (M.D.) is 1063755700

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
PETER IZZO (M.D.)
NPI
1063755700
Phone
(678) 774-0430
Address
1502 W 3RD ST
Enumeration Date
1 April 2013
Last Update Date
8 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4783527143
Graduation Year
2008 (18 years ago)
PAC ID
3779878343
Group Practice PAC ID
4587805684
Professional Enrollment ID
I20180613002005
Address ID
GA310472828KA2510X127X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for PETER IZZO (M.D.)

  • 1502 W 3RD ST

    JACKSON, GA 302331979

    Phone: (678) 774-0430

    Fax: (770) 775-3410

    Type: Mailing

  • 1502 W 3rd St

    Jackson, GA 302331979

    Phone: (678) 774-0430

    Fax: (770) 775-3410

    Type: Location

  • 8315 RED BUG LAKE RD

    OVIEDO, FL 327656860

    Phone: (407) 599-6193

    Fax: (407) 599-6194

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Amgen Inc. ($19).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-11

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: 2025-08-01

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
I20180613002005IFamily PracticeGATBD
I20250801001770IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6027$0
36415Insertion of needle into vein for collection of blood sample3122$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 30233)

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Provider's Procedures

PETER IZZO (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA83036Hemoglobin A1C level2117

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: 4587805684View full group profile
NameSpecialtyState
-GA
Nurse PractitionerGA
Family PracticeGA
Family PracticeGA
Family PracticeIL
Family PracticeGA
-IL

Reviews

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Frequently asked questions

What unique ID ties claims to PETER IZZO (M.D.)?
NPI 1063755700 is assigned to PETER IZZO (M.D.) under the national enumeration system.
Is PETER IZZO (M.D.) currently active in the NPI registry?
CMS-published data lists PETER IZZO (M.D.) as an active registrant.
What kind of provider is PETER IZZO (M.D.)?
The page reflects Family Medicine Physician for PETER IZZO (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place PETER IZZO (M.D.)?
The snapshot lists Jackson, Georgia for PETER IZZO (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.