DR. PETER WILLIAM HARRIS (M.D) – Emergency Medicine Physician, NPI 1053629592

DR. PETER WILLIAM HARRIS (M.D) is a healthcare provider. based in Conroe, Texas. specializing in EMERGENCY MEDICINE, INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D. They hold a License No. 262428 (NY). The NPI Number for DR. PETER WILLIAM HARRIS (M.D) is 1053629592

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER WILLIAM HARRIS (M.D)
NPI
1053629592
Phone
(908) 334-1109
Address
116 DAVID FOREST LN
Enumeration Date
17 September 2010
Last Update Date
30 January 2019

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
9365391111
Graduation Year
2010 (16 years ago)
PAC ID
3779880885
Group Practice PAC ID
9537410972
Professional Enrollment ID
I20160404001705
Address ID
TX773042808CO504XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

Provider Addresses for DR. PETER WILLIAM HARRIS (M.D)

  • 116 DAVID FOREST LN

    CONROE, TX 773843737

    Phone: (908) 334-1109

    Type: Mailing

  • 504 MEDICAL CENTER BLVD

    CONROE, TX 773042808

    Phone: (936) 539-7044

    Type: Location

  • 27005 76th Ave

    Emergency Dept

    New Hyde Park, NY 110401402

    Phone: (908) 334-1109

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $201.

Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: ABBVIE INC. ($201).

Total Amount

$201

General + Research + Ownership

Payments

8

Total payment records

General Amount

$201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$201
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: 2016-04-04

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
I20160404001705IEmergency MedicineTXTBD

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
99291Critical care, first 30-74 minutes554199$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8956$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1616$0
View full utilization report →

Insurance plans in this area (ZIP 77384)

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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: 9537410972View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerID
Nurse PractitionerFL
Internal Medicine, Pulmonary Disease, Sleep MedicineTX
Nurse PractitionerLA
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)TX
Critical Care (Intensivists), General PracticeTX

Reviews

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Frequently asked questions

What NPI should I save for DR. PETER WILLIAM HARRIS (M.D)?
Save NPI 1053629592 if you need a stable reference for DR. PETER WILLIAM HARRIS (M.D).
Does this profile mean DR. PETER WILLIAM HARRIS (M.D) is currently active?
Yes — DR. PETER WILLIAM HARRIS (M.D) appears active in the national provider directory.
Does DR. PETER WILLIAM HARRIS (M.D) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. PETER WILLIAM HARRIS (M.D). Clinical services aligned with this taxonomy classification.
Where is DR. PETER WILLIAM HARRIS (M.D)'s primary listing?
We display Conroe, Texas because that is what the record indicates for DR. PETER WILLIAM HARRIS (M.D).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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