DR. DOUGLAS PAUL PELLER (D.O.) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1083754600

DR. DOUGLAS PAUL PELLER (D.O.) is a healthcare provider. based in Thornton, Colorado. specializing in OTOLARYNGOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials D.O.. They hold a License No. 37826 (CO). The NPI Number for DR. DOUGLAS PAUL PELLER (D.O.) is 1083754600

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS PAUL PELLER (D.O.)
NPI
1083754600
Phone
(303) 920-1015
Address
9141 GRANT STREET, SUITE 240
Enumeration Date
7 February 2007
Last Update Date
2 February 2023

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF OSTEOPATHY
Secondary Phone
3036952600
Graduation Year
1994 (32 years ago)
PAC ID
2062464704
Group Practice PAC ID
1951559293
Professional Enrollment ID
I20070307000143
Address ID
CO800125411AU1501XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

226 OTOLARYNGOLOGY in CO

Provider Addresses for DR. DOUGLAS PAUL PELLER (D.O.)

  • 9141 GRANT STREET, SUITE 240

    SUITE 240

    THORNTON, CO 80229

    Phone: (303) 920-1015

    Fax: (303) 252-1437

    Type: Mailing

  • 9141 GRANT STREET

    SUITE 240

    THORNTON, CO 80229

    Phone: (303) 920-1015

    Fax: (303) 252-1437

    Type: Location

  • 9025 GRANT ST

    SUITE 201

    THORNTON, CO 802294378

    Phone: (303) 920-1015

    Fax: (303) 252-1437

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $856.

Total Amount is formed as General ($856) + Research ($0) + Ownership ($0) = $856.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GENZYME CORPORATION ($204).

Total Amount

$856

General + Research + Ownership

Payments

35

Total payment records

General Amount

$856

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-03-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070307000143IOtolaryngologyCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes775291$0
92550Test for eardrum and muscle function323251$0
92557Comprehensive hearing and speech recognition test286235$0
69210Removal of impacted ear wax184106$0
99204New patient office or other outpatient visit, 45-59 minutes157157$0
View full utilization report →

Insurance plans in this area (ZIP 80229)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951559293View full group profile
NameSpecialtyState
U R O L O G YCO
Oral SurgeryCO
Urology, General SurgeryCO
O P H T H A L M O L O G YCO
Oral SurgeryCO
Oral Surgery, Maxillofacial SurgeryCO
Nurse PractitionerCO
O T O L A R Y N G O L O G YIL
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YCO

Reviews

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Frequently asked questions

What number should I use to identify DR. DOUGLAS PAUL PELLER (D.O.) for billing?
Administrative and clinical systems typically use NPI 1083754600 for DR. DOUGLAS PAUL PELLER (D.O.).
Is DR. DOUGLAS PAUL PELLER (D.O.)'s NPI status active today?
Active status means DR. DOUGLAS PAUL PELLER (D.O.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. DOUGLAS PAUL PELLER (D.O.)?
NPPES ties DR. DOUGLAS PAUL PELLER (D.O.) to Otolaryngology/Facial Plastic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. DOUGLAS PAUL PELLER (D.O.)?
DR. DOUGLAS PAUL PELLER (D.O.) is associated with Thornton, Colorado in the same public data insurers reference.
Who maintains DR. DOUGLAS PAUL PELLER (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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