DR. TRISTAN ROSS PEREGRINO FOWLER (DO) – Obstetrics & Gynecology Physician, NPI 1881044006
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
382 OBSTETRICS/GYNECOLOGY in KS
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Provider Addresses for DR. TRISTAN ROSS PEREGRINO FOWLER (DO)
1013 N MAIN ST
SIKESTON, MO 638015043
Phone: (573) 472-7535
Fax: (573) 472-7787
Type: Mailing
4840, College Boulevard, Overland Park, Johnson County, Kansas, 66211, United States
OVERLAND PARK, KS 662111601
Phone: (913) 491-6878
Fax: (913) 491-3172
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $932.
Total Amount is formed as General ($932) + Research ($0) + Ownership ($0) = $932.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: ABBVIE INC. ($229).
Total Amount
$932
General + Research + Ownership
Payments
49
Total payment records
General Amount
$932
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $229 |
| MAYNE PHARMA COMMERCIAL LLC | $184 |
| Astellas Pharma US Inc | $167 |
| Novo Nordisk Inc | $102 |
| Agile Therapeutics, Inc. | $76 |
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: 2024-07-17
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 |
|---|---|---|---|---|
| I20240717002776 | I | Obstetrics/Gynecology | MO | 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 63801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Endocrinology, Internal Medicine | MO | |
| Family Practice | MO | |
| General Surgery | MO |
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