2026 NPPES data Pediatric Cardiology Physician NPI 1871053215 MD
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PETER BARRALE, MD

Pediatric Cardiology Physician in DANVILLE, Pennsylvania. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
32
Medicare Part D claims · Pediatric Cardiology Physician avg: 77

What the federal data shows

PETER BARRALE, MD filed 32 Medicare Part D claims in 2023 as a Pediatric Cardiology Physician in DANVILLE, Pennsylvania.

32
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

PETER BARRALE, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

32 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

PETER BARRALE, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about PETER BARRALE, MD?

Quality data not reported

NPI registry status

Active

Issued 03/21/2019

NPI 1871053215

Primary specialty

Pediatric Cardiology Physician

Niche

2,529 US NPIs in this specialty

Medicare Part D claims

32 58% vs specialty avg

2023 prescription claims

Specialty avg: 77

Specialty distribution in Pennsylvania

How Pediatric Cardiology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Pediatric Cardiology Physician share within Pennsylvania

1. Pediatric Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Cardiology Physician share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Cardiology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Cardiology Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Cardiology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Cardiology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

PETER BARRALE, MD appears in the CMS NPPES registry as a Pediatric Cardiology Physician provider holding MD credentials at 100 N ACADEMY AVE, DANVILLE, PA, 17822, with a listed phone of (570) 271-6089. NPI 1871053215 was issued on 03/21/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BARRALE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 32 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $5K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pediatric Cardiology Physician is a narrow specialty nationwide, with 2,529 enrolled providers across 51 states and an average of 77 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

100 N ACADEMY AVE
DANVILLE, PA 17822

Provider Details

NPI 1871053215
Specialty Pediatric Cardiology Physician
Credentials MD
Gender Male
NPI Issued 03/21/2019

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to PETER BARRALE, MD. To verify PETER BARRALE, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

32
Total Claims
$5K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
67
Total Day Supply
1,981
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
37.1 years
Avg HCC Risk Score
2.22

Pediatric Cardiology Physician Overview

How PETER BARRALE, MD fits within the Pediatric Cardiology Physician landscape nationally.

2,529
Pediatric Cardiology Physician Providers in US
51
States with Pediatric Cardiology Physician
77
Avg Claims per Provider

PETER BARRALE, MD's 32 claims are below the specialty average of 77.

Nearby Pediatric Cardiology Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as BARRALE.

Compare Pediatric Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PETER BARRALE, MD's specialty?
PETER BARRALE, MD specializes in Pediatric Cardiology Physician and practices in DANVILLE, Pennsylvania. Credentials: MD.
How much does PETER BARRALE, MD prescribe under Medicare Part D?
In 2023, PETER BARRALE, MD wrote 32 Medicare Part D claims totaling $5K in drug costs for N/A beneficiaries.
Where is PETER BARRALE, MD located?
PETER BARRALE, MD is located at 100 N ACADEMY AVE, DANVILLE, PA, 17822. Phone: (570) 271-6089.
What is PETER BARRALE, MD's NPI number?
PETER BARRALE, MD's National Provider Identifier (NPI) is 1871053215, issued on 03/21/2019.
How many Pediatric Cardiology Physician providers are there in the US?
There are 2,529 Pediatric Cardiology Physician providers across 51 states in the US. The average Pediatric Cardiology Physician provider writes 77 Medicare Part D claims per year.
Does PETER BARRALE, MD accept Medicare?
PETER BARRALE, MD appears in CMS Medicare data with 32 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PETER BARRALE, MD's credentials?
PETER BARRALE, MD's NPI is 1871053215 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology