CARL PETERS MD
NPI 1053403915
Family Medicine in Pacific, MO
NPI Status: Active since September 29, 2006
Contact Information
307 NOONAN DR
PACIFIC, MO
ZIP 63069
Phone: (636) 271-9100
Fax: (636) 257-6016
- Individual
- Male
- Family Medicine
- Accepts Insurance
About CARL PETERS
This page provides the complete NPI Profile along with additional information for Carl Peters, a primary care provider established in Pacific, Missouri with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1053403915 assigned on September 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 036099983 (IL). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1053403915
- Provider Name
- CARL PETERS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 307 NOONAN DR PACIFIC, MO 63069
- Location Phone
- (636) 271-9100
- Location Fax
- (636) 257-6016
- Mailing Address
- 901 PATIENTS FIRST DRIVE WASHINGTON, MO 63090
- Mailing Phone
- (636) 390-1400
- Mailing Fax
- (636) 257-6016
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-29-2006
- Last Update Date
- 07-15-2011
- Code Navigator
A primary care provider (PCP) like Carl Peters sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036099983
- License State
- IL
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2026) - HMO
- AvMed Entrust Bronze 650 (2026) - HMO
- AvMed Entrust Expanded Bronze Standard (2026) - HMO
- AvMed Entrust Gold 125 (2026) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
- AvMed Entrust Gold Standard (2026) - HMO
- AvMed Entrust Platinum 25 (2026) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
- AvMed Entrust Platinum Standard (2026) - HMO
- AvMed Entrust Silver 350 (2026) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2026) - HMO
- AvMed Entrust Silver 550 (2026) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2026) - HMO
- AvMed Entrust Silver Standard (2026) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| L71591 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | INDIVIDUAL # |
| 129430024 | MEDICARE PIN (08) | ||
| G97354 | MEDICARE UPIN (02) | ||
| CA2264 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | RR GROUP # |
| 036099983 | MEDICAID (05) | IL | |
| 205521800 | MEDICAID (05) | MO | |
| 080145857 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | RR INDIVIDUAL # |
| 833130 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | GROUP # |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053403915, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
PACIFIC, MO 63069
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053403915, enumerated as an "individual" on September 29, 2006.
The provider is located at 307 NOONAN DR PACIFIC, MO 63069 and the phone number is (636) 271-9100.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: AvMed, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
