ALISA GAY PETERSON (DO) – Internal Medicine Physician, NPI 1609842525

ALISA GAY PETERSON (DO) is a healthcare provider. based in Dallas, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. L7109 (TX). The NPI Number for ALISA GAY PETERSON (DO) is 1609842525

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
ALISA GAY PETERSON (DO)
NPI
1609842525
Phone
(972) 788-1692
Address
PO BOX 910042
Enumeration Date
28 February 2006
Last Update Date
21 May 2008

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF HOMEOPATHIC MEDICINE
Secondary Phone
8175732273
Graduation Year
1994 (32 years ago)
PAC ID
6709890932
Group Practice PAC ID
3971940966
Professional Enrollment ID
I20060126000889
Address ID
TX760485655GR1310XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for ALISA GAY PETERSON (DO)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 753910042

    Phone: (972) 788-1692

    Type: Mailing

  • 411, North Belknap Street, Stephenville, Erath County, Texas, 76401, United States

    STEPHENVILLE, TX 764013415

    Phone: (254) 965-1152

    Fax: (254) 965-1156

    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: 2006-01-26

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
I20060126000889IInternal MedicineTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes322119$0
99238Hospital discharge day management, 30 minutes or less6060$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5554$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3317$0
99239Hospital discharge day management, more than 30 minutes3231$0
View full utilization report →

Insurance plans in this area (ZIP 75391)

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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: 3971940966View full group profile
NameSpecialtyState
Emergency MedicineTX
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)TX
Emergency MedicineMI
Certified Registered Nurse Anesthetist (Crna)OK
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineAZ
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)AZ

Reviews

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Frequently asked questions

What number should I use to identify ALISA GAY PETERSON (DO) for billing?
Administrative and clinical systems typically use NPI 1609842525 for ALISA GAY PETERSON (DO).
Is ALISA GAY PETERSON (DO)'s NPI status active today?
Active status means ALISA GAY PETERSON (DO)'s NPI record is not deactivated in the public file.
What does the directory say ALISA GAY PETERSON (DO) does?
Insurance directories may phrase it differently, but here ALISA GAY PETERSON (DO) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ALISA GAY PETERSON (DO)?
ALISA GAY PETERSON (DO) shows a connection to Dallas, Texas in registry-derived data.
Why is information missing for ALISA GAY PETERSON (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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