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DR. TONY PETER MD
NPI 1023549870
Otolaryngology in Frisco, TX

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment
8380 WARREN PKWY STE 504, FRISCO, TX 75034(972) 596-4005(972) 985-1253 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, Jul 18, 2017, Mar 23, 2017 (3 updates tracked since 2017).

About Dr. Tony Peter Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TONY PETER MD (NPI 1023549870) is an individual otolaryngology provider in Frisco, Texas, licensed in Texas (T5433) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Frisco, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2017).

NPPES Registry Identity

NPI1023549870
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. TONY PETERCredential: MD
Location Address8380 WARREN PKWY STE 504Frisco, TX 75034-4253
Mailing Address8380 Warren Pkwy Ste 504Frisco, TX 75034-4253 · (972) 596-4005 · Fax (972) 985-1253
Phone(972) 596-4005
Fax(972) 985-1253
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2017
Enumeration DateMarch 23, 2017
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1023549870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in TX · T5433✔ Licensed in TX · 125.071145
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
8380 WARREN PKWY STE 504, Frisco, TX 75034
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tony Peter Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769753029
PECOS Enrollment IDI20221208002283
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tony Peter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Collin County Ent
0.1 mi
Otolaryngology
8380 WARREN PKWY STE 504
Frisco, TX 75034
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1740916139 (972) 596-4005

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services62 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
61 services61 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services32 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
43 services41 patients
Test for eardrum and muscle function 92550
This test assesses the health of your eardrum and muscles linked to hearing. A small device is placed in your ear that creates pressure changes and sounds. Your ear's responses are recorded to determine if they are functioning properly.
41 services38 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
17 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450853
Location5601 Warren ParkwayFrisco, TX 75034 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TONY K. PETER MD PLLC
Otolaryngology
8380 WARREN PKWY STE 504
FRISCO, TX 75034
Denton County (972) 596-4005
COLLIN COUNTY ENT
Otolaryngology
8380 WARREN PKWY STE 504
FRISCO, TX 75034
Denton County (972) 596-4005
DR. MARK C LITTLEJOHN MD
Otolaryngology
8380 WARREN PKWY STE 504
FRISCO, TX 75034
Denton County (972) 596-4005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tony Peter's NPI number?

The NPI number for Tony Peter is 1023549870. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Tony Peter located?

Tony Peter practices at 8380 Warren Pkwy Ste 504, Frisco, TX 75034. The listed phone number is (972) 596-4005.

What is Tony Peter's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Tony Peter enrolled in Medicare?

Yes. Tony Peter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tony Peter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Peter reassigns Medicare benefits to Collin County Ent (Frisco, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tony Peter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tony Peter accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Tony Peter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tony Peter affiliated with any hospitals?

According to CMS data, Tony Peter is affiliated with Baylor Scott & White Medical Center - Frisco.

When was this NPI record last updated?

The NPPES record for Tony Peter was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.