Deactivated NPI 1457335481 Deactivated / Inactive NPI Male Practitioner

Dr. Ralph W Peters , MD

Surgery • Fremont, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ralph Peters has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 02, 2005

NPI Deactivation Date October 27, 2022

Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Peters, MD was a registered Surgery practicing in Fremont, OH. Throughout an active medical career spanning 17 years, Dr. Peters provided care at the practice location at 1908 GLEN SPRINGS DR until profile deactivation on 2022-10-27.

Historical Medicare Part B clinical services included moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito, established patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1908 Glen Springs Dr

Fremont, OH 434203244

Telephone 4193324778

Fax 4193322899

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fremont, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 49.0 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Fremont, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	77	77	$12.00	$5.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	47	$75.00	$54.95
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	42	42	$1076.00	$233.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$315.00	$166.12
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$112.00	$89.95
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$790.68	$182.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$173.14	$110.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$165.00	$127.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	62	62	$12.00	$5.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	40	$75.00	$43.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$315.00	$158.69
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$1076.00	$246.76
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$112.00	$73.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$165.00	$107.01
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	22	22	$824.00	$181.34
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$824.00	$182.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	111	110	$11.77	$5.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	74	$71.91	$42.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	59	$150.64	$103.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$288.81	$158.66
99213 Established patient office or other outpatient visit, typically 15 minutes	50	41	$106.40	$71.17
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	49	48	$1076.00	$250.01
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	30	30	$824.00	$182.77
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$824.00	$186.22
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$824.00	$187.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$958.00	$92.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	100	94	$71.45	$39.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$220.94	$151.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	59	$139.29	$98.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	61	60	$1132.18	$236.16
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	58	58	$11.25	$5.38
99213 Established patient office or other outpatient visit, typically 15 minutes	46	36	$94.43	$67.37
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$934.27	$95.24
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$843.89	$181.33
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$882.15	$178.39
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$876.50	$178.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$250.00	$147.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	85	$80.00	$38.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	75	$160.00	$96.56
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	61	61	$1225.00	$217.88
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	30	30	$950.00	$172.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$275.00	$187.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$900.00	$95.34
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$950.00	$173.63
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$100.00	$65.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$200.00	$130.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$275.00	$185.00

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35074279

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Career & Practice History Timeline

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

8 Historical Events

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NPI Profile Deactivated October 27, 2022

Record deactivated on October 27, 2022

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Updated Practice Location May 17, 2018

Registered at 1908 GLEN SPRINGS DR, FREMONT, OH 43420 (Tel: 4193324778)

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NPI Profile Active March 29, 2011

NPI status registered as active in NPPES database

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Updated Practice Location March 29, 2011

Registered at 1908 GLEN SPRINGS DR, FREMONT, OH 434203244 (Tel: 4193324778)

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Updated Business Mailing Address March 29, 2011

Registered at 1908 GLEN SPRINGS DR, FREMONT, OH 434203244 (Tel: 4193324778)

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Provider Name / Credentials Updated March 29, 2011

Recorded as RALPH PETERS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2011

Surgery (License #35074279 in OH)

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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: 1457335481

Entity Type:

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

Enumeration Date: December 02, 2005

Last Update: March 29, 2011

Deactivation Date: October 27, 2022

Update or Correct Profile

Mailing Address

1908 Glen Springs Dr

Fremont, OH 434203244

Phone: 4193324778

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.