PETER SAM III LATINO (M.D.) – Emergency Medicine Physician, NPI 1215021738
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,268 EMERGENCY MEDICINE in IN
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Provider Addresses for PETER SAM III LATINO (M.D.)
Spring Street, Jeffersonville, Clark County, Indiana, 47190, United States
JEFFERSONVILLE, IN 47130
Phone: (812) 283-3993
Fax: (812) 283-7294
Type: Location
800 ZORN AVE
LOUISVILLE, KY 402061433
Phone: (502) 287-4000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-12-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100203000472 | I | Emergency Medicine | KY | TBD |
| I20111212000768 | I | Emergency Medicine | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 109 | 108 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 54 | 54 | $0 |
| 99291 | Critical care, first 30-74 minutes | 24 | 24 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 13 | 13 | $0 |
Insurance plans in this area (ZIP 47130)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | IN | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | KY | |
| - | KY | |
| - | KY | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| O P H T H A L M O L O G Y | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY |
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