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WALTER RUSSELL PETERS JR. M.D., M.B.A
NPI 1316941123
Colon & Rectal Surgery in Dallas, TX

Active since June 09, 2005PECOS Enrolled
3409 WORTH ST, WORTH TOWER, SUITE 640, DALLAS, TX 75246(469) 800-7180(469) 800-7190 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2022, Apr 14, 2017 (2 updates tracked since 2017).

About Walter Russell Peters Jr. M.d., M.b.a NPPES

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

WALTER RUSSELL PETERS JR. M.D., M.B.A (NPI 1316941123) is an individual colon & rectal surgery provider in Dallas, Texas, licensed in Texas (Q6358) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316941123
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameWALTER RUSSELL PETERS JR.Credential: M.D., M.B.A
Location Address3409 WORTH ST, WORTH TOWER, SUITE 640Dallas, TX 75246-2029
Mailing Address3409 Worth St, Worth Tower, Suite 640Dallas, TX 75246-2029 · (469) 800-7180 · Fax (469) 800-7190
Phone(469) 800-7180
Fax(469) 800-7190
Sole ProprietorNo
Enumeration DateJune 9, 2005
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1316941123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Licenses✔ Licensed in TX · Q6358✔ Licensed in MO · R6G45
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License R6G45 (MO)
3409 WORTH ST, Dallas, TX 75246
Open in Google Maps ↗

Other Identifiers 13

Other25055MO · Anthem Bluecross Blueshie
Other5125MO · Healthcare Usa
Other4343317TX · Aetna
OtherA10787MO · Mercy
Medicaid3548646-01TX
Other123497MO · Phcs
Other28058MO · Ghp
Other8FM794TX · Bcbs
Medicaid202523015MO
Other1284609MO · United Healthcare
Other1316941123TX · Npi
Other4343317MO · Aetna
Other431428562MO · Great West

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walter Russell Peters Jr. M.d., M.b.a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier11 claims221 services$2.36 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers16 claims310 services$5.74 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers16 claims610 services$3.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MR. GLEN DAVID ADAMS LP, CCP
Perfusionist
3409 WORTH ST, SUITE 725
DALLAS, TX 75246
Dallas County (214) 824-2510
DR. PAITOON TULANON M.D.
Colon & Rectal Surgery
3409 WORTH ST, SUITE 500
DALLAS, TX 75246
Dallas County (214) 824-1730
WLS SURGICAL ASSOCIATES LLP
Specialist
3409 WORTH ST, SUITE 420
DALLAS, TX 75246
Dallas County (214) 824-9963
DR. ROBERT M. JACOBSON M.D.
Colon & Rectal Surgery
3409 WORTH ST, SUITE 500
DALLAS, TX 75246
Dallas County (214) 824-1730
MATTHEW BERCHUCK M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3409 WORTH ST, 300
DALLAS, TX 75246
Dallas County (214) 865-1350
NORTH TEXAS COLON & RECTAL ASSOCIATES PA
Colon & Rectal Surgery
3409 WORTH ST, SUITE 600
DALLAS, TX 75246
Dallas County (214) 824-1730
DR. EDWARD R. FRANKO M.D.
Colon & Rectal Surgery
3409 WORTH ST, SUITE 500
DALLAS, TX 75246
Dallas County (214) 824-1730
WLS SURGICAL ASSOCIATES PA
Specialist
3409 WORTH ST, SUITE 420
DALLAS, TX 75246
Dallas County (214) 459-0095

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 Walter Peters's NPI number?

The NPI number for Walter Peters is 1316941123. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Walter Peters located?

Walter Peters practices at 3409 Worth St Worth Tower, Suite 640, Dallas, TX 75246. The listed phone number is (469) 800-7180.

What is Walter Peters's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Walter Peters enrolled in Medicare?

Yes. Walter Peters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Walter Peters was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.