MICHAEL C PETERSON (PA-C) – Physician Assistant, NPI 1861542086
Physician Assistant
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for MICHAEL C PETERSON (PA-C)
LHPG MENTOR FAMILY PRACTICE
8655 MARKET STREET
MENTOR, OH 44060
Phone: (440) 255-7938
Fax: (440) 255-9196
Type: Location
5266 STATE ROUTE 45
ROME, OH 440859404
Phone: (440) 563-5028
Fax: (440) 563-3044
Type: Mailing
8655 MARKET STREET
MENTOR, OH 440609404
Phone: (440) 255-7938
Fax: (440) 255-9196
Type: Mailing
5266 State Route 45
Rome, OH 440859404
Phone: (440) 563-5028
Fax: (440) 563-3044
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 100 Open Payments records for all available years, with a total value of $2,085.
Total Amount is formed as General ($2,085) + Research ($0) + Ownership ($0) = $2,085.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($273).
Total Amount
$2,085
General + Research + Ownership
Payments
100
Total payment records
General Amount
$2,085
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $273 |
| PFIZER INC. | $226 |
| GlaxoSmithKline, LLC. | $210 |
| Phathom Pharmaceuticals, Inc. | $165 |
| AstraZeneca Pharmaceuticals LP | $151 |
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: 2011-01-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110125001297 | I | Physician Assistant | OH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 150 | 101 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 112 | 76 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 17 | 14 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17 | 17 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 44060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Physician Assistant | OH | |
| - | OH | |
| - | OH | |
| Family Practice | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH |
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