CARL PETERS (MD) – Family Medicine Physician, NPI 1053403915

CARL PETERS (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 036099983 (IL). The NPI Number for CARL PETERS (MD) is 1053403915

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
CARL PETERS (MD)
NPI
1053403915
Phone
(314) 467-2014
Address
12348 OLD TESSON RD
Enumeration Date
29 September 2006
Last Update Date
9 September 2014

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
3144289541
Graduation Year
1993 (33 years ago)
PAC ID
2769536630
Group Practice PAC ID
2365739240
Professional Enrollment ID
I20090812000696
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for CARL PETERS (MD)

  • Old Tesson Road, Concord, Saint Louis County, Missouri, 63128, United States

    SUITE 180

    SAINT LOUIS, MO 631282251

    Phone: (314) 467-2014

    Fax: (314) 467-2170

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 63128)

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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: 2365739240View full group profile

Reviews

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Frequently asked questions

What is CARL PETERS (MD)'s NPI number?
CARL PETERS (MD)'s NPI is 1053403915 — the number used across U.S. healthcare to identify this provider.
Is there an active status for CARL PETERS (MD)?
For scheduling context, CARL PETERS (MD) is shown as active in the registry.
What area of care is associated with CARL PETERS (MD)?
CARL PETERS (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CARL PETERS (MD)?
Travel planning: use Saint Louis, Missouri as the reference point for CARL PETERS (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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