DALLAS ELWOOD PETERSON (M.D.) – Family Medicine Physician, NPI 1265403638
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
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Provider Addresses for DALLAS ELWOOD PETERSON (M.D.)
590, South Main Street, Snowflake, Navajo County, Arizona, 85937, United States
SNOWFLAKE, AZ 859375228
Phone: (928) 536-7519
Fax: (928) 536-7305
Type: Mailing
1001, Arbor Park Drive, Belton, Bell County, Texas, 76513, United States
BELTON, TX 765138196
Phone: (254) 933-4100
Type: Location
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-8800
Type: Mailing
300 W CENTRAL TEXAS EXPY STE 117
HARKER HEIGHTS, TX 765481888
Phone: (254) 457-4432
Fax: (254) 618-4941
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $320.
Total Amount is formed as General ($320) + Research ($0) + Ownership ($0) = $320.
Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Lilly USA, LLC ($104).
Total Amount
$320
General + Research + Ownership
Payments
13
Total payment records
General Amount
$320
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $104 |
| AstraZeneca Pharmaceuticals LP | $94 |
| Abbott Laboratories | $41 |
| IDORSIA PHARMACEUTICALS US INC | $35 |
| Medtronic, Inc. | $28 |
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: 2017-11-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20171101003300 | I | Family Practice | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 65 | 40 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 37 | 31 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 16 | $0 |
Insurance plans in this area (ZIP 85937)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Orthopedic Surgery | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | NV | |
| Obstetrics/Gynecology, Emergency Medicine | FL | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX |
Reviews
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