Active NPI 1194709246 Individual Practitioner Male Practitioner

Dr. Peter John Miotto , MD

Specialist • Marlborough, MA

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Peter Miotto, MD is a registered Specialist practitioner in Marlborough, MA. With approximately 37 years of clinical practice since graduating from University Of California, Irvine, California College Of Medicine in 1989, Dr. Miotto provides healthcare services at the registered practice location at 159 UNION ST.

Dr. Miotto accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, limited ultrasound scan of 1 breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

159 Union St
Suite 104

Marlborough, MA 017521274

Telephone 5082293640

Fax 5082297954

Associated Practice Facility / Clinic

🏢 Massachusetts Cardiology Assoc Llc Facility NPI 1982661062

Medicare Profile & Education

Medical School

University Of California, Irvine, California College Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Marlborough, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs Matches City Avg

City Avg: 37.0 Yrs

State Avg: 37.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Marlborough, MA (1181 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Miotto (37 Years) 37 Yrs

Marlborough Specialty Average (37.0 Years) 37.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	38	$409.44	$139.66
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$287.97	$99.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$483.00	$180.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$368.00	$121.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	45	$287.00	$99.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	31	$402.00	$140.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$483.00	$181.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$368.00	$123.48
76642 Limited ultrasound scan of 1 breast	13	12	$383.00	$98.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$598.00	$239.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$514.00	$184.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	40	$402.00	$140.77
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$287.00	$101.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$483.00	$185.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$368.00	$125.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$514.00	$212.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	35	$382.19	$145.75
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$268.50	$102.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$356.92	$126.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$453.16	$187.56
49505 Repair of groin hernia (5 years or older)	12	12	$2610.00	$582.84
76642 Limited ultrasound scan of 1 breast	12	11	$358.00	$98.01
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$224.09	$82.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$343.33	$122.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$320.00	$121.19
99213 Established patient office or other outpatient visit, typically 15 minutes	23	19	$232.39	$84.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$403.33	$181.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$520.00	$231.07
19301 Partial removal of breast	14	14	$1818.00	$739.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$520.00	$185.19
76998 Ultrasonic guidance during surgery	12	12	$335.25	$68.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$447.00	$221.47
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1385.00	$248.26
38900 Lymph node imaging during surgery	11	11	$690.00	$154.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	41	$295.88	$120.01
99213 Established patient office or other outpatient visit, typically 15 minutes	38	33	$200.79	$82.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$284.87	$119.91
76642 Limited ultrasound scan of 1 breast	29	23	$318.66	$99.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	20	$374.00	$160.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$513.40	$226.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$380.00	$180.33
19301 Partial removal of breast	16	14	$1818.00	$700.76
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$516.86	$181.33
76998 Ultrasonic guidance during surgery	13	13	$316.00	$68.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$447.00	$217.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	40	$285.35	$115.38
99213 Established patient office or other outpatient visit, typically 15 minutes	39	35	$193.21	$78.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$378.14	$175.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$256.56	$115.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$369.33	$155.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$488.14	$220.62
76642 Limited ultrasound scan of 1 breast	19	17	$317.00	$100.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	44	$275.00	$113.05
99213 Established patient office or other outpatient visit, typically 15 minutes	43	37	$185.00	$77.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$246.00	$113.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$362.00	$171.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$358.00	$151.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$475.00	$214.90
76642 Limited ultrasound scan of 1 breast	12	11	$317.00	$104.78

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA 203288

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0130851 (MA)

Commercial Insurance / Payer ID Tufts Health Plan

203288 (MA)

Commercial Insurance / Payer ID Fallon Community Health

61677 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim Health Ca

808067 (MA)

Commercial Insurance / Payer ID Ma State License

203288 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Joseph Bouchard , MD

Internal Medicine - Cardiovascular Disease

NPI 1609892199

Doctor of Medicine (M.D.)

Caitlin Olsen , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1669750378

Nurse Practitioner

Dr. Daniel Carlucci , MD

Internal Medicine - Cardiovascular Disease

NPI 1700076882

Doctor of Medicine (M.D.)

Dr. Kimberly Robinson , MD

Internal Medicine - Pulmonary Disease

NPI 1801990056

Doctor of Medicine (M.D.)

Mary Reed , RN, NP

Nurse Practitioner

NPI 1871652099

Registered Nurse, Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 159 UNION ST, SUITE 104, MARLBOROUGH, MA 017521274 (Tel: 5082293640)

📍

Updated Business Mailing Address July 09, 2007

Registered at 159 UNION ST, SUITE 104, MARLBOROUGH, MA 017521274 (Tel: 5082293640)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as PETER MIOTTO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #203288 in MA)

🟢

Initial NPI Registration & Enumeration December 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194709246

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 02, 2005

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

159 Union St, Suite 104

Marlborough, MA 017521274

Phone: 5082293640

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.