MR. DARRYL W. PETERSON (MD) – Orthopaedic Hand Surgery Physician, NPI 1174579874
Orthopaedic Hand Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Medtronic, Inc. | $79 |
| Stryker Corporation | $31 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170516001483 | I | Hand Surgery | TX | 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 | 184 | 124 | $0 |
| 73120 | X-ray of hand, 2 views | 82 | 52 | $0 |
| 73140 | X-ray of finger, minimum of 2 views | 53 | 30 | $0 |
| 73110 | X-ray of wrist, minimum of 3 views | 45 | 22 | $0 |
| 73100 | X-ray of wrist, 2 views | 41 | 23 | $0 |
Insurance plans in this area (ZIP 77845)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | TX | 73140 | X-ray of fingers, minimum of 2 views | 56 | 41 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| Internal Medicine, Internal Medicine, Hospitalist | LA | |
| Physician Assistant | MA | |
| Hospitalist, Family Practice | TX | |
| Pulmonary Disease, Critical Care (Intensivists) | TX | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | TX | |
| - | TX | |
| - | TX | |
| Family Practice | CO |
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