MR. DARRYL W. PETERSON (MD) – Orthopaedic Hand Surgery Physician, NPI 1174579874

MR. DARRYL W. PETERSON (MD) is a healthcare provider. based in College station, Texas. specializing in HAND SURGERY, ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. K3391 (TX). The NPI Number for MR. DARRYL W. PETERSON (MD) is 1174579874

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
MR. DARRYL W. PETERSON (MD)
NPI
1174579874
Phone
(979) 731-8888
Address
2803 Earl Rudder Fwy S Ste 103
Enumeration Date
25 May 2006
Last Update Date
19 March 2025

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9797318888
Graduation Year
1985 (41 years ago)
PAC ID
9537171343
Group Practice PAC ID
5294727921
Professional Enrollment ID
I20170516001483
Address ID
TX778456099CO2803XSXXX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

265 HAND SURGERY in TX

Provider Addresses for MR. DARRYL W. PETERSON (MD)

  • 2803 Earl Rudder Fwy S Ste 103

    College Station, TX 778456099

    Phone: (979) 731-8888

    Fax: (979) 731-8935

    Type: Location

  • 2803 EARL RUDDER FWY S STE 202

    COLLEGE STATION, TX 778456099

    Phone: (979) 731-8888

    Fax: (979) 731-8935

    Type: Location

  • 2803 EARL RUDDER FWY S STE 103

    COLLEGE STATION, TX 778456099

    Phone: (979) 731-8888

    Fax: (979) 731-8935

    Type: Location

  • 202, Texas Avenue, Bryan, Brazos County, Texas, 77802, United States

    BRYAN, TX 778025361

    Phone: (979) 774-2061

    Fax: (979) 776-5914

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Medtronic, Inc. ($79).

Total Amount

$110

General + Research + Ownership

Payments

2

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2017-05-16

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
I20170516001483IHand SurgeryTXTBD

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 minutes184124$0
73120X-ray of hand, 2 views8252$0
73140X-ray of finger, minimum of 2 views5330$0
73110X-ray of wrist, minimum of 3 views4522$0
73100X-ray of wrist, 2 views4123$0
View full utilization report →

Insurance plans in this area (ZIP 77845)

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Provider's Procedures

MR. DARRYL W. PETERSON (MD) performs procedures in HAND SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYTX73140X-ray of fingers, minimum of 2 views5641

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: 5294727921View full group profile
NameSpecialtyState
-TX
-TX
Internal Medicine, Internal Medicine, HospitalistLA
Physician AssistantMA
Hospitalist, Family PracticeTX
Pulmonary Disease, Critical Care (Intensivists)TX
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineTX
-TX
-TX
Family PracticeCO

Reviews

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Frequently asked questions

Where can patients find MR. DARRYL W. PETERSON (MD)'s NPI?
You can confirm MR. DARRYL W. PETERSON (MD) with NPI 1174579874; it appears in the national provider directory.
Is MR. DARRYL W. PETERSON (MD)'s NPI currently valid?
The extract we use shows MR. DARRYL W. PETERSON (MD) as active.
What does MR. DARRYL W. PETERSON (MD) treat or focus on?
Patients typically see MR. DARRYL W. PETERSON (MD) under the specialty Orthopaedic Hand Surgery Physician. Clinical services aligned with this taxonomy classification.
Does MR. DARRYL W. PETERSON (MD) practice in Texas?
You will see College Station, Texas on file for MR. DARRYL W. PETERSON (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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