DR. THEODORE THOMAS PETERS (M.D.) – Orthopaedic Surgery Physician, NPI 1922004472

DR. THEODORE THOMAS PETERS (M.D.) is a healthcare provider. based in Grapevine, Texas. specializing in Orthopaedic Surgery Physician. They hold the professional credentials M.D.. They hold a License No. F4371 (TX). The NPI Number for DR. THEODORE THOMAS PETERS (M.D.) is 1922004472

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. THEODORE THOMAS PETERS (M.D.)
NPI
1922004472
Phone
(817) 481-2121
Address
2535 IRA E WOODS AVENUE
Enumeration Date
21 June 2005
Last Update Date
27 April 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
8174812121
Graduation Year
1979 (47 years ago)
PAC ID
5799828497
Group Practice PAC ID
2769448430
Professional Enrollment ID
I20100203000433
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

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Provider Addresses for DR. THEODORE THOMAS PETERS (M.D.)

  • 2535, Ira E Woods Avenue, Grapevine, Tarrant County, Texas, 76051, United States

    GRAPEVINE, TX 760513930

    Phone: (817) 481-2121

    Fax: (817) 488-4493

    Type: Mailing

  • 4501 Heritage Trace Parkway, Suite 101

    Fort Worth, TX 762448940

    Phone: (817) 481-2121

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76051)

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Provider's Procedures

DR. THEODORE THOMAS PETERS (M.D.) performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYTX73110X-ray of wrist, minimum of 3 views5331
ORTHOPEDIC SURGERYTX73140X-ray of fingers, minimum of 2 views6643

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: 2769448430View full group profile
NameSpecialtyState
CHARLES TATE HAYES (PA-C)
-TX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. THEODORE THOMAS PETERS (M.D.)?
NPI 1922004472 is assigned to DR. THEODORE THOMAS PETERS (M.D.) under the national enumeration system.
Is DR. THEODORE THOMAS PETERS (M.D.)'s NPI currently valid?
The extract we use shows DR. THEODORE THOMAS PETERS (M.D.) as active.
Does DR. THEODORE THOMAS PETERS (M.D.) list a primary specialty?
If you are matching referrals, note Orthopaedic Surgery Physician for DR. THEODORE THOMAS PETERS (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. THEODORE THOMAS PETERS (M.D.)?
We surface Grapevine, Texas for DR. THEODORE THOMAS PETERS (M.D.) based on available NPPES addresses.
What if Grapevine, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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