Active NPI 1205891686 Individual Practitioner Male Practitioner

Dr. Peter Alan Redford , MD

Internal Medicine • Berlin, VT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Redford, MD is a certified Internal Medicine practicing in Berlin, VT. With approximately 33 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 1993, Dr. Redford delivers high-quality medical care to the local community at 130 FISHER RD.

Dr. Redford is affiliated with Meriter Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

130 Fisher Rd
Hospitalist Program

Berlin, VT 056029516

Telephone 8022251743

Fax 8022251745

Associated Practice Facility / Clinic

🏢 Central Vermont Medical Center Inc Facility NPI 1508845637

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Berlin, VT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +10.9 yrs vs City Avg

City Avg: 22.1 Yrs

State Avg: 31.4 Yrs

Regional Practice Density

23 Specialists

Practicing in Berlin, VT (340 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Redford (33 Years) 33 Yrs

Berlin Specialty Average (22.1 Years) 22.1 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	187	92	$281.00	$73.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	164	83	$423.00	$109.99
99238 Hospital discharge day management, 30 minutes or less	51	51	$327.00	$75.38
99239 Hospital discharge day management, more than 30 minutes	47	47	$447.00	$106.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$497.00	$120.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$725.00	$160.72
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	12	$209.00	$45.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	304	141	$276.00	$73.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	208	95	$415.00	$108.00
99238 Hospital discharge day management, 30 minutes or less	63	62	$320.00	$75.95
99239 Hospital discharge day management, more than 30 minutes	54	54	$439.00	$107.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$710.00	$162.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	38	$487.00	$121.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	11	$205.00	$46.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	282	117	$271.03	$67.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	172	82	$407.00	$96.30
99239 Hospital discharge day management, more than 30 minutes	60	60	$431.05	$99.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	42	$696.98	$186.37
99225 Subsequent observation care, typically 25 minutes per day	35	21	$306.00	$66.56
99217 Hospital observation care on day of discharge	28	28	$316.00	$67.38
99238 Hospital discharge day management, 30 minutes or less	26	26	$313.01	$67.75
99220 Hospital observation care, typically 70 minutes	26	26	$667.01	$168.42
99219 Hospital observation care, typically 50 minutes	22	22	$540.00	$124.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$476.02	$126.82
99226 Subsequent observation care, typically 35 minutes per day	12	11	$454.99	$95.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	269	120	$266.00	$68.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	164	74	$399.00	$98.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	47	$683.00	$187.84
99239 Hospital discharge day management, more than 30 minutes	43	42	$423.00	$101.17
99238 Hospital discharge day management, 30 minutes or less	40	39	$307.00	$68.60
99217 Hospital observation care on day of discharge	30	30	$310.00	$68.60
99225 Subsequent observation care, typically 25 minutes per day	27	22	$300.00	$68.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$467.00	$128.74
99219 Hospital observation care, typically 50 minutes	15	15	$529.00	$127.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	369	152	$261.00	$70.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	90	63	$391.00	$101.01
99239 Hospital discharge day management, more than 30 minutes	54	52	$415.00	$103.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	53	$458.00	$132.34
99238 Hospital discharge day management, 30 minutes or less	43	42	$301.00	$70.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$670.00	$195.36
99217 Hospital observation care on day of discharge	26	26	$304.00	$70.38
99225 Subsequent observation care, typically 25 minutes per day	18	12	$294.00	$70.65
99219 Hospital observation care, typically 50 minutes	12	12	$519.00	$131.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	428	183	$206.84	$70.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	126	69	$275.50	$101.99
99239 Hospital discharge day management, more than 30 minutes	86	84	$316.67	$104.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	61	$508.17	$197.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	54	$435.00	$132.00
99238 Hospital discharge day management, 30 minutes or less	32	32	$260.44	$71.11
99217 Hospital observation care on day of discharge	23	23	$221.09	$71.59
99219 Hospital observation care, typically 50 minutes	16	16	$509.00	$131.14
99220 Hospital observation care, typically 70 minutes	15	15	$414.08	$182.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	398	188	$122.79	$71.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	230	125	$176.44	$102.88
99239 Hospital discharge day management, more than 30 minutes	154	146	$208.48	$106.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	97	94	$332.46	$199.99
99238 Hospital discharge day management, 30 minutes or less	34	34	$143.39	$72.40
99217 Hospital observation care on day of discharge	32	31	$122.80	$72.42
99220 Hospital observation care, typically 70 minutes	24	24	$269.34	$183.87
99225 Subsequent observation care, typically 25 minutes per day	20	12	$147.62	$72.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	11	$67.94	$38.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$225.58	$134.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	413	198	$122.49	$71.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	294	151	$176.01	$102.68
99239 Hospital discharge day management, more than 30 minutes	170	158	$208.13	$106.18
99238 Hospital discharge day management, 30 minutes or less	78	78	$142.72	$71.63
99217 Hospital observation care on day of discharge	53	51	$122.49	$71.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	31	$331.81	$199.21
99225 Subsequent observation care, typically 25 minutes per day	30	22	$147.47	$71.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	15	$67.79	$38.55
99220 Hospital observation care, typically 70 minutes	14	14	$268.78	$182.86

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VT 042.0011900

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License WI 35626

Internal Medicine - Infectious Disease

NUCC Taxonomy Code: 207RI0200X

State License VT 042.0011900

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1017159 (VT)

Commercial Insurance / Payer ID Railroad Medicare

P01338278 (VT)

Hospital & Practice Group Affiliations

Meriter Hospital Inc

202 S Park St, Madison, WI 537151507

Phone: 6084176000

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Justin Chuang , MD

Family Medicine

NPI 1093179400

Doctor of Medicine (M.D.)

Dr. Sarah Swift , MD

Internal Medicine

NPI 1134151434

Doctor of Medicine (M.D.)

Dr. Colin Mccreight , MD

Internal Medicine

NPI 1174659858

Doctor of Medicine (M.D.)

Dr. Hannah Swayze-Quinn , MD

Internal Medicine

NPI 1184838799

Doctor of Medicine (M.D.)

Dr. Robert Nelson , MD

Family Medicine

NPI 1407972524

Doctor of Medicine (M.D.)

Dr. Marvin Malek , MD

Internal Medicine

NPI 1417978149

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 04, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 04, 2014

Registered at 130 FISHER RD, HOSPITALIST PROGRAM, BERLIN, VT 056029516 (Tel: 8022251743)

📍

Updated Business Mailing Address December 04, 2014

Registered at PO BOX 547, ATT: CVMC FINANCE DEPT, BARRE, VT 056410547 (Tel: 8022251743)

👤

Provider Name / Credentials Updated December 04, 2014

Recorded as PETER REDFORD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2014

Internal Medicine (License #042.0011900 in VT)

🟢

Initial NPI Registration & Enumeration April 19, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205891686

Entity Type:

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

Enumeration Date: April 19, 2006

Last Update: December 04, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 547, Att: Cvmc Finance Dept

Barre, VT 056410547

Phone: 8022251743

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.