DR. KRAIG ROBERT PEPPER (DO PA) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1568444107

DR. KRAIG ROBERT PEPPER (DO PA) is a healthcare provider. based in Fort worth, Texas. specializing in ORTHOPEDIC SURGERY, HAND SURGERY, SPORTS MEDICINE. They hold the professional credentials DO PA. They hold a License No. N1060 (TX). The NPI Number for DR. KRAIG ROBERT PEPPER (DO PA) is 1568444107

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRAIG ROBERT PEPPER (DO PA)
NPI
1568444107
Phone
(817) 632-0020
Address
6049 S HULEN ST
Enumeration Date
18 November 2005
Last Update Date
17 May 2024

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
81763200202008
Graduation Year
2000 (26 years ago)
PAC ID
9234171232
Group Practice PAC ID
8224285176
Professional Enrollment ID
I20090729000484
Address ID
TX761324272FO6930XPKWY302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,187 ORTHOPEDIC SURGERY in TX

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Provider Addresses for DR. KRAIG ROBERT PEPPER (DO PA)

  • Golden Corral, 6049, South Hulen Street, Fort Worth, Tarrant County, Texas, 76132, United States

    SUITE 101

    FORT WORTH, TX 761324815

    Phone: (817) 632-0020

    Fax: (817) 632-0022

    Type: Mailing

  • South Hulen Street, Fort Worth, Tarrant County, Texas, 76132, United States

    FORT WORTH, TX 761324815

    Phone: (817) 632-0020

    Fax: (817) 632-0022

    Type: Location

  • 6930 HARRIS PKWY STE 130

    FORT WORTH, TX 761324272

    Phone: (817) 632-0020

    Fax: (817) 632-0022

    Type: Mailing

  • 6930 Harris Pkwy Ste 130

    Fort Worth, TX 761324272

    Phone: (817) 632-0020

    Fax: (817) 632-0022

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $21,263.

Total Amount is formed as General ($1,575) + Research ($19,688) + Ownership ($0) = $21,263.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($20,038).

Total Amount

$21,263

General + Research + Ownership

Payments

26

Total payment records

General Amount

$1,575

General payments

Research Amount

$19,688

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2009-07-29

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
I20090729000484IOrthopedic 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 minutes639305$0
99214Established patient office or other outpatient visit, 30-39 minutes468253$0
J1100Injection, dexamethasone sodium phosphate, 1 mg322196$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance319164$0
20610Aspiration and/or injection of fluid from large joint279146$0
View full utilization report →

Insurance plans in this area (ZIP 76132)

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Provider's Procedures

DR. KRAIG ROBERT PEPPER (DO PA) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYTX20610Aspiration and/or injection of large joint or joint capsule202148

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: 8224285176View full group profile
NameSpecialtyState
Physician AssistantTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KRAIG ROBERT PEPPER (DO PA)?
NPI 1568444107 is assigned to DR. KRAIG ROBERT PEPPER (DO PA) under the national enumeration system.
Is DR. KRAIG ROBERT PEPPER (DO PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. KRAIG ROBERT PEPPER (DO PA) list a primary specialty?
If you are matching referrals, note Sports Medicine (Orthopaedic Surgery) Physician for DR. KRAIG ROBERT PEPPER (DO PA). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KRAIG ROBERT PEPPER (DO PA)?
The snapshot lists Fort Worth, Texas for DR. KRAIG ROBERT PEPPER (DO PA); download NPPES for the complete set.
Is DR. KRAIG ROBERT PEPPER (DO PA) a real provider?
This page reflects official NPPES data for NPI 1568444107. Always confirm identity and privileges with the practice and licensing boards.

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