DR. DOUGLAS EDWARD PETERSON (DO) – Orthopaedic Surgery Physician, NPI 1477535896
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
947 ORTHOPEDIC SURGERY in MA
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Provider Addresses for DR. DOUGLAS EDWARD PETERSON (DO)
Providence, Stranderød, Sønderborg Municipality, Region of Southern Denmark, 6300, Denmark
PROVIDENCE, RI 029406300
Phone: (401) 274-0103
Fax: (888) 815-4804
Type: Mailing
4 STATE RD
DANVERS, MA 019232567
Phone: (978) 774-3400
Fax: (978) 774-5883
Type: Mailing
4, State Road, Danvers, Essex County, Massachusetts, 01923, United States
DANVERS, MA 019232567
Phone: (978) 774-3400
Fax: (978) 774-5883
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $203.
Total Amount is formed as General ($203) + Research ($0) + Ownership ($0) = $203.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Stryker Corporation ($159).
Total Amount
$203
General + Research + Ownership
Payments
3
Total payment records
General Amount
$203
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $159 |
| Smith+Nephew, Inc. | $23 |
| DePuy Synthes Sales Inc. | $21 |
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: 2010-11-02
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 |
|---|---|---|---|---|
| I20101102000238 | I | Orthopedic Surgery | MA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 434 | 264 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 299 | 138 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 299 | 148 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 117 | 90 | $0 |
| 73560 | X-ray of knee, 1-2 views | 102 | 89 | $0 |
Insurance plans in this area (ZIP 02940)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | OH | |
| Orthopedic Surgery | MA |
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