DR. PETER H. SEIDENBERG (MD) – Sports Medicine (Family Medicine) Physician, NPI 1114960432
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
440 SPORTS MEDICINE in PA
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Provider Addresses for DR. PETER H. SEIDENBERG (MD)
PO BOX 858
MC A410
HERSHEY, PA 170330858
Phone: (800) 243-1455
Type: Mailing
1512 W KIRBY PL
SHREVEPORT, LA 711033822
Phone: (318) 626-0287
Type: Mailing
1850, East Park Avenue, State College, Centre County, Pennsylvania, 16803, United States
STATE COLLEGE, PA 168036705
Phone: (814) 865-3566
Fax: (814) 863-7803
Type: Location
1541 KINGS HWY
SHREVEPORT, LA 711034228
Phone: (318) 626-0000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $120.
Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Innovation Technologies Inc ($47).
Total Amount
$120
General + Research + Ownership
Payments
6
Total payment records
General Amount
$120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Innovation Technologies Inc | $47 |
| Dexcom, Inc. | $43 |
| PFIZER INC. | $16 |
| Bioventus LLC | $14 |
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: 2020-06-10
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 |
|---|---|---|---|---|
| I20070719000283 | I | Family Practice | PA | TBD |
| I20200610002825 | I | Sports Medicine | LA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 14 | $0 |
Insurance plans in this area (ZIP 17033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | LA | |
| Emergency Medicine | LA | |
| - | LA | |
| - | LA | |
| - | LA | |
| Family Practice, Emergency Medicine | LA | |
| - | LA | |
| - | LA | |
| - | LA | |
| - | LA |
Reviews
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