DR. ROBERT DANIEL PETERS M.D.
NPI 1225476609
Otolaryngology in Raleigh, NC

Active since June 07, 2013PECOS EnrolledAccepts Medicare Assignment
82.48/100
CMS Quality Rating
4600 LAKE BOONE TR, SUITE 100, RALEIGH, NC 27607(919) 420-2027(919) 571-8135 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2020, Jul 2, 2018 (2 updates tracked since 2018).

About Dr. Robert Daniel Peters M.d. NPPES

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

DR. ROBERT DANIEL PETERS M.D. (NPI 1225476609) is an individual otolaryngology provider in Raleigh, North Carolina, licensed in North Carolina (2019-02065) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of University Of Michigan Medical School (2013).

NPPES Registry Identity

NPI1225476609
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ROBERT DANIEL PETERSCredential: M.D.
Location Address4600 LAKE BOONE TR, SUITE 100Raleigh, NC 27607
Mailing Address4600 Lake Boone Tr, Suite 100Raleigh, NC 27607 · (919) 420-2027 · Fax (919) 571-8135
Fax(919) 571-8135
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2013
Enumeration DateJune 7, 2013
Last NPPES UpdateOctober 16, 20242 updates tracked since enumeration
NPPES CertifiedMarch 6, 2020
NPI 1225476609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NC · 2019-02065
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.
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License 2019-02065 (NC)
4600 LAKE BOONE TR, Raleigh, NC 27607

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert Daniel Peters M.d. 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 ID9638306947
PECOS Enrollment IDI20191029003251
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.

Areas of Expertise CMS Part B claims 8

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.
175 services127 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
148 services19 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.
58 services58 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
44 services31 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.
37 services31 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
28 services25 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.75
Promoting Interoperability97
Improvement Activities40
Cost76.36

Other Providers at the Same Location NPPES 14

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

Otolaryngology
4600 LAKE BOONE TR, SUITE 100
RALEIGH, NC 27607
Physician Assistant
4600 LAKE BOONE TR, SUITE 100
RALEIGH, NC 27607
Otolaryngology
4600 LAKE BOONE TR, SUITE 100
RALEIGH, NC 27607
Physician Assistant
4600 LAKE BOONE TR, SUITE 100
RALEIGH, NC 27607
Otolaryngology
4600 LAKE BOONE TR, SUITE 100
RALEIGH, NC 27607
Otolaryngology
4600 LAKE BOONE TR, SUITE 100
RALEIGH, NC 27607
Otolaryngology
4600 LAKE BOONE TR, SUITE 100
RALEIGH, NC 27607
Audiologist
4600 LAKE BOONE TR, SUITE 100
RALEIGH, NC 27607

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 Robert Peters's NPI number?

The NPI number for Robert Peters is 1225476609. It was assigned to this individual provider in the NPPES registry on June 7, 2013.

Where is Robert Peters located?

Robert Peters practices at 4600 Lake Boone Tr Suite 100, Raleigh, NC 27607. The listed phone number is (919) 420-2027.

What is Robert Peters's specialty?

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

Is Robert Peters enrolled in Medicare?

Yes. Robert Peters 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.

What insurance does Robert Peters accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Robert Peters 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 Robert Peters affiliated with any hospitals?

According to CMS data, Robert Peters is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Robert Peters was last updated on October 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.