Kelly A. Peszko
NPI 1205293131ActiveIndividual· Nurse Practitioner, Adult Health· Bala Cynwyd, PA
Nurse Practitioner, Adult Health with Trivalley Primary Care PC, practicing in Bala Cynwyd, Pennsylvania. 182 Medicare patients in 2024, $80,961 paid; nearly all of their 899 Part D prescriptions were generic (91%).
Overview
| NPI | 1205293131 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 22, 2016 |
| Last updated in NPPES | Jan 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | SP015608 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 182 |
|---|---|
| Services billed | 1,200 across 22 procedure codes |
| Paid by Medicare | $80,961 |
Part D prescriptions in 2024
| Prescriptions (claims) | 899 · 926 30-day fills |
|---|---|
| Patients | 108 |
| Total drug cost | $38,894 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Trivalley Primary Care PCSouderton, PA · 56 clinicians
Other facilities
- Community at Rockhill, theNursing home · Sellersville, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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