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Dr. Nicholas Peterson , MD

Colon & Rectal Surgery β€’ Philadelphia, PA

Active NPI 1205493335 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

5501 Old York Rd
Philadelphia, PA 191413018

Call 2154574444 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5501 Old York Rd

Philadelphia, PA 191413018

Telephone 2154574444
Fax 2154577602
Organization at the Same NPPES Address or Phone
Einstein Practice Plan Inc Facility NPI 1477510154

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Miami, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Einstein Practice Plan Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Medical School

Un Of British Columbia, Faculty Of Medicine

Graduation Year

2019

30-day fills

12 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$26 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $130.67 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Peterson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Peterson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Philadelphia and Pennsylvania

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Peterson are from 2023.

13 active clinicians are listed under Colon & Rectal Surgery with a practice address in Philadelphia, PA (124 in Pennsylvania).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Philadelphia

46.2% of these 13 clinicians have the CMS telehealth indicator.

69.2% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2023), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $130.67.

Manufacturer Payment Nature Product Type Amount ($)
Olympus Corporation of the Americas
Food and Beverage
In-kind items and services
EVIS EXERA III COLONOVIDEOSCOPE General $130.67

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D Β· Data Year 2023
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 12 30 $25.98 12

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-09-03
Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

License # reported to NPPES FL TRN40885

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Surgery

NUCC Taxonomy Code: 208600000X

License # reported to NPPES PA MD490367

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Pennsylvania Department of State Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - COLORECTAL SURGERY (PROCTOLOGY)

Medicare Enrollment ID

I20251124000078

Enrollment State Jurisdiction

PA

PECOS Control ID

0042545824

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Einstein Practice Plan Inc

5401 Old York Rd, Philadelphia, PA 191413030

Phone: 2154574444

Einstein Practice Plan Inc

9880 Bustleton Ave, Philadelphia, PA 191152143

Phone: 2156762222

Secondary Practice Locations

1611 Nw 12th Ave

Miami, FL 331361005

Phone: 3053255511

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Mark Kotapka , MD

Neurological Surgery

NPI 1679542799

Doctor of Medicine (M.D.)

NPI 1619136587

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location September 03, 2026

Registered at 5501 OLD YORK RD, PHILADELPHIA, PA 191413018 (Tel: 2154574444)

πŸ“
Updated Business Mailing Address September 03, 2026

Registered at PO BOX 788735, PHILADELPHIA, PA 191788735 (Tel: 2154567000)

🏒
Secondary Practice Location Registered September 03, 2026

Additional practice office at 1611 NW 12th Ave, Miami, FL 331361005

πŸ“
Updated Practice Location June 25, 2024

Registered at 1611 NW 12TH AVE, MIAMI, FL 331361005 (Tel: 3053255511)

πŸ“
Updated Business Mailing Address June 25, 2024

Registered at 1611 NW 12TH AVE, MIAMI, FL 331361005

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Colon & Rectal Surgery (license number reported to NPPES: FL TRN40885)

βœ…
NPI Profile Active May 23, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 23, 2019

Registered at 3401 N BROAD ST, PHILADELPHIA, PA 191405103 (Tel: 2157072000)

πŸ“
Business Mailing Address (Initial Record) May 23, 2019

Registered at 3401 N BROAD ST, PHILADELPHIA, PA 191405103

πŸ‘€
Provider Name / Credentials (Initial Record) May 23, 2019

Recorded as NICHOLAS PETERSON, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2019

Surgery (license number reported to NPPES: PA MT217438)

🟒
Initial NPI Registration & Enumeration May 23, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205493335
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2019
Last Update: September 03, 2026
Sole Proprietor: Yes

Other Colon & Rectal Surgery Specialists in Philadelphia

All Colon & Rectal Surgery Specialists in Philadelphia

Mailing Address

Po Box 788735

Philadelphia, PA 191788735

Phone: 2154567000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.