PETER BLOSSER (MD) – Ophthalmology Physician, NPI 1114554581

PETER BLOSSER (MD) is a healthcare provider. based in Charlottesville, Virginia. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 0101281578 (VA). The NPI Number for PETER BLOSSER (MD) is 1114554581

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
PETER BLOSSER (MD)
NPI
1114554581
Phone
(434) 295-3227
Address
626 BERKMAR CIR
Enumeration Date
25 March 2020
Last Update Date
12 July 2024

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
4342953227104
Graduation Year
2020 (6 years ago)
PAC ID
6800262023
Group Practice PAC ID
9830143692
Professional Enrollment ID
I20241004002996
Address ID
VA229011464CH626XXCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

284 OPHTHALMOLOGY in KY

Provider Addresses for PETER BLOSSER (MD)

  • 626 BERKMAR CIR

    CHARLOTTESVILLE, VA 229011464

    Phone: (434) 295-3227

    Fax: (434) 295-9527

    Type: Mailing

  • 900 S LIMESTONE CTW 304

    LEXINGTON, KY 405360001

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $764.

Total Amount is formed as General ($764) + Research ($0) + Ownership ($0) = $764.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Alcon Vision LLC ($250).

Total Amount

$764

General + Research + Ownership

Payments

14

Total payment records

General Amount

$764

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-10-04

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
I20241004002996IOphthalmologyVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22901)

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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: 9830143692View full group profile
NameSpecialtyState
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA

Reviews

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Frequently asked questions

What unique ID ties claims to PETER BLOSSER (MD)?
NPI 1114554581 is assigned to PETER BLOSSER (MD) under the national enumeration system.
Is PETER BLOSSER (MD) active in the national directory?
PETER BLOSSER (MD)'s public NPI profile is in an active state.
What does PETER BLOSSER (MD) treat or focus on?
Patients typically see PETER BLOSSER (MD) under the specialty Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Does PETER BLOSSER (MD) practice in Virginia?
You will see Charlottesville, Virginia on file for PETER BLOSSER (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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