DR. JOHN STEWART PETERS (D.O.) – Dermatology Physician, NPI 1013004860
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
207 DERMATOLOGY in AL
Provider Addresses for DR. JOHN STEWART PETERS (D.O.)
580 PROVIDENCE PARK DR E
MOBILE, AL 366954614
Phone: (251) 631-3570
Fax: (251) 631-3572
Type: Location
8573 COUNTY ROAD 64
DAPHNE, AL 365268706
Phone: (251) 621-2244
Fax: (251) 621-7209
Type: Location
2798 DOGWOOD ACRES
CRESTVIEW, FL 325369368
Phone: (406) 299-0871
Type: Mailing
Lyster Army Health Clinic, 301, Andrews Avenue, Dale County, Alabama, 36362, United States
LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 363625333
Phone: (334) 255-7040
Fax: (334) 255-7716
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $546.
Total Amount is formed as General ($546) + Research ($0) + Ownership ($0) = $546.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ABBVIE INC. ($145).
Total Amount
$546
General + Research + Ownership
Payments
28
Total payment records
General Amount
$546
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $145 |
| Janssen Biotech, Inc. | $86 |
| Amgen Inc. | $58 |
| LEO Pharma Inc. | $46 |
| Novartis Pharmaceuticals Corporation | $45 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171026002288 | I | Dermatology | GA | TBD |
| I20240718003698 | I | Dermatology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36695)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OR | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | CA | |
| Nurse Practitioner | AL | |
| D E R M A T O L O G Y | AL | |
| Nurse Practitioner | AL |
Reviews
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