PETER LESLIE JERNIGAN MD
NPI 1770873028
Surgery in Anniston, AL
NPI Status: Active since April 07, 2011
Contact Information
901 LEIGHTON AVE
ANNISTON, AL
ZIP 36207
Phone: (256) 235-5064
Fax: (256) 235-5945
- Individual
- Male
- Years of Experience 15
- Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About PETER JERNIGAN
This page provides the complete NPI Profile along with additional information for Peter Jernigan, a provider established in Anniston, Alabama with a medical specialization in Surgery and more than 15 years of experience. He graduated from University Of Alabama School Of Medicine in 2011. The healthcare provider is registered in the NPI registry with number 1770873028 assigned on April 2011. The practitioner's primary taxonomy code is 208600000X with license number 41527 (AL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1770873028
- Provider Name
- PETER LESLIE JERNIGAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 901 LEIGHTON AVE ANNISTON, AL 36207
- Location Phone
- (256) 235-5064
- Location Fax
- (256) 235-5945
- Mailing Address
- PO BOX 2345 ANNISTON, AL 36202
- Mailing Phone
- (256) 235-5015
- Mailing Fax
- (256) 235-5945
- Medical School Name
- UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
- Graduation Year
- 2011
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-07-2011
- Last Update Date
- 10-31-2024
- Code Navigator
A surgeon like Peter Jernigan treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 41527
- License State
- AL
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
- UHC Silver Value ($0 Virtual Urgent Care, $2 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Value+ ($0 Virtual Urgent Care, $2 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Peter Jernigan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Peter Jernigan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8921246653
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20201229002853
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Colonoscopy
Established patient office or other outpatient visit, 20-29 minutes
Follow-up hospital inpatient care per day, typically 15 minutes
Hernia repair - groin (open)
Hernia repair (minimally invasive)
Initial hospital inpatient care per day, typically 70 minutes
Mastectomy
Melanoma (skin cancer) excision
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Ultrasonic guidance for blood vessel access
Upper gastrointestinal (GI) endoscopy for acid reflux
A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.
This service was performed for 1-10 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 32 times for 17 patientsFollow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 124 times for 43 patientsHernia repair in the groin area (open) is a surgical procedure to fix a bulge or protrusion, caused by internal tissues pushing through a weak spot in your abdominal wall. In this operation, a small incision is made in the groin area. The protruding tissue is then placed back into the abdomen, and the weakened area is reinforced with stitches or a mesh.
This service was performed for 1-10 patientsHernia repair is a surgery to fix a hernia - a condition where an organ pushes through an opening in the muscle or tissue that holds it in place. Minimally invasive hernia repair involves small incisions, a tiny camera, and special surgical tools. This method often leads to quicker recovery, less pain, and reduced scarring compared to traditional surgery.
This service was performed for 11 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 95 times for 88 patientsA mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.
This service was performed for 1-10 patientsMelanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
This service was performed for 1-10 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 12 times for 12 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 23 times for 23 patientsUltrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
This service was performed 15 times for 15 patientsAn upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.
This service was performed for 32 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.47 for a new patient copayment and $16.52 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 36207 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.9
- Minimum New Patient Price $52.65
- Maximum New Patient Price $161.63
- Average New Patient Copayment $20.47
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.4
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.08
- Minimum Established Patient Price $16.56
- Maximum Established Patient Price $131.65
- Average Established Patient Copayment $16.52
- Minimum Established Patient Copayment $4.14
- Maximum Established Patient Copayment $32.91
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for PETER LESLIE JERNIGAN MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 7 | 0 | 8 | 7 | 3 | 0 | 2 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 14 | 0 | 16 | 7 | 6 | 0 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 4 + 0 + 1 + 6 + 7 + 6 + 0 + 4 + 24 = 62 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 62 = 8 | 8 |
The NPI number 1770873028 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1356340020 | JAMES S HIXON M.D. Individual | Specialist | 901 LEIGHTON AVE SUITE 101 ANNISTON, AL 36207 (256) 236-0890 |
1417942061 | MICHAEL BRUCE KLINE MD Individual | Specialist | 901 LEIGHTON AVE SUITE 504 ANNISTON, AL 36207 (256) 236-1500 |
1972580777 | DR. DONALD C ROSEN MD Individual | Internal Medicine | 901 LEIGHTON AVE SUITE 306 ANNISTON, AL 36207 (256) 240-6993 |
1205808805 | LEWIS E SELLERS III M.D. Individual | Specialist | 901 LEIGHTON AVE STE. 702 ANNISTON, AL 36207 (256) 237-1624 |
1013989607 | RICHARD A CURTIN M.D. Individual | Specialist | 901 LEIGHTON AVE STE. 702 ANNISTON, AL 36207 (256) 237-1624 |
1285606897 | CHARLES KENDRICK URQUHART M.D. Individual | Specialist | 901 LEIGHTON AVE STE. 702 ANNISTON, AL 36207 (256) 237-1624 |
1417920786 | RODERICK G JOHNSON M.D. Individual | Specialist | 901 LEIGHTON AVE STE. 702 ANNISTON, AL 36207 (256) 237-1624 |
1508829722 | DR. BEATRICE L SMITH M.D. Individual | Specialist | 901 LEIGHTON AVE SUITE 601 ANNISTON, AL 36207 (256) 236-4426 |
1376506584 | DR. ROBERT H. HURLBUTT IV Individual | Specialist | 901 LEIGHTON AVE SUITE 601 ANNISTON, AL 36207 (256) 236-4426 |
1699731240 | MR. TIMOTHY A. BARNES PA-C/SA Individual | Physician Assistant | 901 LEIGHTON AVE SUITE 102 ANNISTON, AL 36207 (256) 236-1300 |
1376583054 | MARY JACQUELYN BROWN CRNP Individual | Nurse Practitioner (Adult Health) | 901 LEIGHTON AVE SUITE 101 ANNISTON, AL 36207 (256) 236-0890 |
1881603090 | JOSE R CABALLERO M.D. Individual | Pediatrics | 901 LEIGHTON AVE SUITE 703 ANNISTON, AL 36207 (256) 236-4845 |
1144335241 | ANNISTON ONCOLOGY Organization | Internal Medicine (Hematology & Oncology) | 901 LEIGHTON AVE SUITE 602 ANNISTON, AL 36207 (256) 238-1011 |
1659489615 | ANNISTON EAR, NOSE & THROAT, P.C. Organization | Specialist | 901 LEIGHTON AVE SUITE 601 ANNISTON, AL 36207 (256) 236-4426 |
1730273707 | BLANE E. BATEMAN, DO Organization | Otolaryngology | 901 LEIGHTON AVE STE 506 ANNISTON, AL 36207 (256) 238-0200 |
1003983586 | INTERNAL MEDICINE ASSOCIATES, P.C. Organization | Specialist | 901 LEIGHTON AVE SUITE 101 ANNISTON, AL 36207 (256) 236-0890 |
1083763478 | ANNISTON CARDIOLOGY ASSOCIATES, P.A. Organization | Clinic/Center (Medical Specialty) | 901 LEIGHTON AVE SUITE 201 ANNISTON, AL 36207 (256) 236-5181 |
1023213022 | WILLIAM J. FERGSON, JR., MD PC Organization | Specialist | 901 LEIGHTON AVE SUITE 305 ANNISTON, AL 36207 (256) 237-8811 |
1528251642 | HEMATOLOGY AND ONCOLOGY ASSOCIATES OF ALABAMA, LLC Organization | Internal Medicine (Hematology & Oncology) | 901 LEIGHTON AVE SUITE 402 ANNISTON, AL 36207 (256) 237-2526 |
1144475633 | KEITH PATRICK SMITH MD LLC Organization | Clinic/Center (Multi-Specialty) | 901 LEIGHTON AVE STE 705 ANNISTON, AL 36207 (256) 231-1322 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770873028, enumerated in the NPI registry as an "individual" on April 07, 2011
The provider is located at 901 Leighton Ave Anniston, Al 36207 and the phone number is (256) 235-5064
The provider's speciality is Surgery with taxonomy code 208600000X
The provider has more than 15 years of experience. He graduated from University Of Alabama School Of Medicine in 2011.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.9 with an average copayment of $20.47 for new patient appointments. Established patients should expect a typical charge of $66.08 and an average copayment of 16.52. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Colonoscopy, Established patient office or other outpatient visit, 20-29 minutes, Follow-up hospital inpatient care per day, typically 15 minutes, Hernia repair - groin (open), Hernia repair (minimally invasive), Initial hospital inpatient care per day, typically 70 minutes, Mastectomy, Melanoma (skin cancer) excision, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Ultrasonic guidance for blood vessel access and Upper gastrointestinal (GI) endoscopy for acid reflux.
This NPI record was last updated on April 07, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.