CRAIG ANDREW PETERS (M.D.) – Pediatric Urology Physician, NPI 1720157365
Pediatric Urology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CRAIG ANDREW PETERS (M.D.)
Children's Medical Center of Dallas, 1935, Medical District Drive, Dallas, TX, Dallas, Dallas County, Texas, 75235, United States
MAIL STOP F4.04
DALLAS, TX 75235
Phone: (214) 456-4677
Fax: (214) 456-8803
Type: Mailing
Children's Health Specialty Center, 2350, North Stemmons Freeway, Dallas, Dallas County, Texas, 75207, United States
SUITE F4300
DALLAS, TX 75207
Phone: (214) 456-2444
Fax: (214) 456-2497
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $186.
Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.
Last reported payment date: 2024-05-13 • Largest payer in this snapshot: Medtronic, Inc. ($117).
Total Amount
$186
General + Research + Ownership
Payments
4
Total payment records
General Amount
$186
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $117 |
| Innovation Technologies Inc | $49 |
| COLOPLAST CORP | $20 |
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: 2015-10-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151029001360 | I | Urology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75235)
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