DOUGLAS PETERS – Surgical Physician Assistant, NPI 1568810638
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
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Provider Addresses for DOUGLAS PETERS
Texas Avenue, Bryan, Brazos County, Texas, 77840, United States
STE 202
BRYAN, TX 778025361
Phone: (979) 774-2053
Fax: (979) 776-5914
Type: Mailing
Flying Elephants Delicatessen, 2730, Southwest Moody Avenue, South Portland, Portland, Metro, Multnomah County, Oregon, 97201, United States
CL5PA
PORTLAND, OR 972015042
Phone: (503) 494-3633
Type: Location
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-8800
Type: Mailing
3801 SCOTT AND WHITE DR
KILLEEN, TX 765435252
Phone: (254) 680-1100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-01-11
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 |
|---|---|---|---|---|
| I20180111002488 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 330 | 212 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 47 | 47 | $0 |
| 99497 | Advance care planning, first 30 minutes | 39 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 25 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 77802)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| U R O L O G Y | TX | |
| General Surgery | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| Anesthesiology Assistant | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX |
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