Active NPI 1861542086 Individual Practitioner Male Practitioner

Michael C Peterson , PA-C

Physician Assistant • Mentor, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Michael Peterson, PA-C is a certified Physician Assistant practicing in Mentor, OH. With approximately 20 years of clinical experience since completing medical education in 2006, Michael Peterson delivers high-quality medical care to the local community at LHPG MENTOR FAMILY PRACTICE.

Michael Peterson is affiliated with Lake Hospital System, Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

Lhpg Mentor Family Practice
8655 Market Street

Mentor, OH 44060

Telephone 4402557938

Fax 4402559196

Associated Practice Facility / Clinic

🏢 Lake Hospital System Inc Facility NPI 1366484818

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mentor, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +9.8 yrs vs City Avg

City Avg: 10.2 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

18 Specialists

Practicing in Mentor, OH (5376 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

44.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (20 Years) 20 Yrs

Mentor Specialty Average (10.2 Years) 10.2 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	195	116	$110.79	$63.73
99213 Established patient office or other outpatient visit, typically 15 minutes	167	126	$78.29	$47.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$181.00	$57.91
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$72.00	$76.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	130	82	$64.18	$61.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	62	$104.22	$72.43
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$79.05	$53.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$219.53	$61.65
99441 Telephone medical discussion with physician, 5-10 minutes	17	14	$63.82	$29.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$120.67	$64.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$216.29	$103.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	167	98	$64.49	$58.53
99441 Telephone medical discussion with physician, 5-10 minutes	98	88	$63.00	$29.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	55	$105.53	$70.62
99442 Telephone medical discussion with physician, 11-20 minutes	41	40	$95.00	$54.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$225.00	$76.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$42.00	$42.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	89	$62.48	$56.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	46	$100.70	$81.90
99441 Telephone medical discussion with physician, 5-10 minutes	64	59	$60.00	$30.07
99442 Telephone medical discussion with physician, 11-20 minutes	40	40	$90.00	$57.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$40.12	$30.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$190.00	$114.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	177	100	$80.04	$42.86
99441 Telephone medical discussion with physician, 5-10 minutes	22	18	$58.18	$21.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$114.05	$62.37
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	13	12	$24.62	$10.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	374	188	$82.83	$42.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	35	$126.44	$64.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	45	$84.39	$42.66

Medical Specialties & State Licenses

CMS Verified: 2021-03-01

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50002538

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ohio License

50.002538 (OH)

Hospital & Practice Group Affiliations

Lake Hospital System, Inc.

8655 Market St, Mentor, OH 440604112

Phone: 4402556400

Lake Hospital System, Inc.

36500 Euclid Ave, Willoughby, OH 440944455

Phone: 4405160530

Secondary Practice Locations

5266 State Route 45

Rome, OH 440859404

Phone: 4405635028

Practice Associates & Co-Workers

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

6 Associated Practitioners

Victoria Radel , PA-C

Physician Assistant - Medical

NPI 1063130722

Physician Assistant (Certified)

Dr. Daniel Brock , MD

Family Medicine

NPI 1285848614

Doctor of Medicine (M.D.)

Dr. Robin Znidarsic , MD

Family Medicine

NPI 1306952650

Doctor of Medicine (M.D.)

Dr. Laura Bracknell , DO

Family Medicine

NPI 1578192282

Doctor of Osteopathic Medicine (D.O.)

Abigail Cicero , PA-C

Physician Assistant

NPI 1649813700

Physician Assistant (Certified)

Dr. Cheryl Sacerich , DO

Family Medicine

NPI 1760598072

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address March 01, 2021

Registered at 8655 MARKET STREET, MENTOR, OH 440609404 (Tel: 4402557938)

📍

Updated Practice Location August 16, 2018

Registered at LHPG MENTOR FAMILY PRACTICE, 8655 MARKET STREET, MENTOR, OH 44060 (Tel: 4402557938)

✅

NPI Profile Active February 04, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2009

Registered at 5266 STATE ROUTE 45, ROME, OH 440859404 (Tel: 4405635028)

📍

Updated Business Mailing Address February 04, 2009

Registered at 5266 STATE ROUTE 45, ROME, OH 440859404 (Tel: 4405635028)

👤

Provider Name / Credentials Updated February 04, 2009

Recorded as MICHAEL PETERSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2009

Physician Assistant (License #50002538 in OH)

🟢

Initial NPI Registration & Enumeration January 11, 2007

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: 1861542086

Entity Type:

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

Enumeration Date: January 11, 2007

Last Update: March 01, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8655 Market Street

Mentor, OH 440609404

Phone: 4402557938

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.