PETER BRYAN AHN (MD) – Family Medicine Physician, NPI 1063416394

PETER BRYAN AHN (MD) is a healthcare provider. based in Cedar rapids, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35286 (IA). The NPI Number for PETER BRYAN AHN (MD) is 1063416394

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
PETER BRYAN AHN (MD)
NPI
1063416394
Phone
(319) 396-2000
Address
9255 ATLANTIC DR SW
Enumeration Date
1 June 2005
Last Update Date
9 October 2012

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
3193788362
Graduation Year
2001 (25 years ago)
PAC ID
7719878909
Group Practice PAC ID
1355242496
Professional Enrollment ID
I20040324001694
Address ID
IA522332033HI1790XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

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Provider Addresses for PETER BRYAN AHN (MD)

  • Atlantic Drive Southwest, Cedar Rapids, Linn County, Iowa, 52404, United States

    CEDAR RAPIDS, IA 524048950

    Phone: (319) 396-2000

    Fax: (319) 396-5567

    Mailing address matches the actual address.

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: 2004-03-24

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
I20040324001694IFamily PracticeIATBD

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 minutes527225$0
36415Insertion of needle into vein for collection of blood sample421195$0
99213Established patient office or other outpatient visit, 20-29 minutes143105$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg8017$0
G0008Administration of influenza virus vaccine3535$0
View full utilization report →

Insurance plans in this area (ZIP 52404)

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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: 1355242496View full group profile
NameSpecialtyState
Nurse PractitionerIA
Family PracticeIA
Nurse PractitionerIA
Internal MedicineOR
-IA
Physician AssistantIA
Nurse PractitionerIA
Nephrology, Internal MedicineIA
Physician AssistantIA
Pulmonary Disease, Internal MedicineIA

Reviews

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Frequently asked questions

What unique ID ties claims to PETER BRYAN AHN (MD)?
NPI 1063416394 is assigned to PETER BRYAN AHN (MD) under the national enumeration system.
Is PETER BRYAN AHN (MD) active in the national directory?
PETER BRYAN AHN (MD)'s public NPI profile is in an active state.
What does PETER BRYAN AHN (MD) treat or focus on?
Patients typically see PETER BRYAN AHN (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does PETER BRYAN AHN (MD) practice in Iowa?
You will see Cedar Rapids, Iowa on file for PETER BRYAN AHN (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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