PETER HARRIS (MD) – Internal Medicine Physician, NPI 1184734360

PETER HARRIS (MD) is a healthcare provider. based in St johnsbury, Vermont. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 0420007993 (VT). The NPI Number for PETER HARRIS (MD) is 1184734360

Main info

Male
Name
PETER HARRIS (MD)
NPI
1184734360
Phone
(802) 334-3504
Address
165 SHERMAN DR
Enumeration Date
30 August 2006
Last Update Date
17 June 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for PETER HARRIS (MD)

  • 165, Sherman Drive, Saint Johnsbury, Caledonia County, Vermont, 05819, United States

    ST JOHNSBURY, VT 058199811

    Phone: (802) 334-3504

    Fax: (802) 334-3281

    Type: Mailing

  • 82, Maple Street, Island Pond, Brighton, Essex County, Vermont, 05846, United States

    ISLAND POND, VT 05846

    Phone: (802) 723-4300

    Fax: (802) 723-4544

    Type: Location

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: 2005-06-13

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
I20050613000601IInternal MedicineVTTBD

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 05819)

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Reviews

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Frequently asked questions

How do payers reference PETER HARRIS (MD)?
For PETER HARRIS (MD), use NPI 1184734360 as the unique 10-digit identifier.
Active or inactive — what applies to PETER HARRIS (MD)?
You should see PETER HARRIS (MD) as active in CMS-hosted NPPES data.
How would a patient describe PETER HARRIS (MD)'s focus?
For PETER HARRIS (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with PETER HARRIS (MD)?
Directory geography for PETER HARRIS (MD) centers on St Johnsbury, Vermont.
When was this NPI issued?
Enumeration for PETER HARRIS (MD) is noted as August 30, 2006 where the registry provides it.

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