DR. PETER GREGORY BALTUSNIK (M.D.) – Family Medicine Physician, NPI 1598962193
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
Provider Addresses for DR. PETER GREGORY BALTUSNIK (M.D.)
200 Memorial Dr
Luray, VA 228351000
Phone: (540) 743-4561
Fax: (540) 743-9560
Type: Location
Routes 28/55 Hospital Drive
Petersburgh, WV 26847
Phone: (304) 257-2962
Type: Location
1 Healthy Way
Berkeley Springs, WV 254117463
Phone: (304) 258-1234
Fax: (304) 258-7422
Type: Location
Grant Memorial Hospital, 117, Hospital Drive, Town Hill, Petersburg, Grant County, West Virginia, 26847, United States
PETERSBURG, WV 268479566
Phone: (304) 257-1026
Type: Mailing
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: 2019-09-16
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 |
|---|---|---|---|---|
| I20090305000000 | I | Emergency Medicine | WV | TBD |
| I20190916002094 | I | Emergency Medicine | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22835)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WV | |
| Internal Medicine | WV | |
| Nurse Practitioner | WV | |
| Internal Medicine | MD | |
| Emergency Medicine | MD | |
| Internal Medicine | VA | |
| Family Practice | IA | |
| Emergency Medicine | VA | |
| Emergency Medicine | MD | |
| Nephrology, Internal Medicine, Internal Medicine | NY |
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