WALTER RUSSELL PETERS JR. M.D., M.B.A
NPI 1316941123
Colon & Rectal Surgery in Dallas, TX
NPI Status: Active since June 09, 2005
Contact Information
3409 WORTH ST
WORTH TOWER, SUITE 640
DALLAS, TX
ZIP 75246
Phone: (469) 800-7180
Fax: (469) 800-7190
- Individual
- Male
- Colon & Rectal Surgery
- PECOS Enrolled
About WALTER PETERS
This page provides the complete NPI Profile along with additional information for Walter Peters, a provider established in Dallas, Texas with a medical specialization in Colon & Rectal Surgery. The healthcare provider is registered in the NPI registry with number 1316941123 assigned on June 2005. The practitioner's primary taxonomy code is 208C00000X with license number Q6358 (TX). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1316941123
- Provider Name
- WALTER RUSSELL PETERS JR. M.D., M.B.A
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3409 WORTH ST WORTH TOWER, SUITE 640 DALLAS, TX 75246
- Location Phone
- (469) 800-7180
- Location Fax
- (469) 800-7190
- Mailing Address
- 3409 WORTH ST WORTH TOWER, SUITE 640 DALLAS, TX 75246
- Mailing Phone
- (469) 800-7180
- Mailing Fax
- (469) 800-7190
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-09-2005
- Last Update Date
- 04-07-2022
- Code Navigator
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
Colon & Rectal Surgery
- Taxonomy Code
- 208C00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- Q6358
- License State
- TX
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | R6G45 (MO) |
| 2 | 208C00000X | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery | R6G45 (MO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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.
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 |
|---|---|---|---|
| 25055 | OTHER (01) | MO | ANTHEM BLUECROSS BLUESHIE |
| 5125 | OTHER (01) | MO | HEALTHCARE USA |
| 4343317 | OTHER (01) | TX | AETNA |
| A10787 | OTHER (01) | MO | MERCY |
| 3548646-01 | MEDICAID (05) | TX | |
| 123497 | OTHER (01) | MO | PHCS |
| 28058 | OTHER (01) | MO | GHP |
| 8FM794 | OTHER (01) | TX | BCBS |
| 202523015 | MEDICAID (05) | MO | |
| 1284609 | OTHER (01) | MO | UNITED HEALTHCARE |
| 1316941123 | OTHER (01) | TX | NPI |
| 4343317 | OTHER (01) | MO | AETNA |
| 431428562 | OTHER (01) | MO | GREAT WEST |
Medicare Participation & PECOS Enrollment Status
Walter Peters is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Orthotic Devices
DME-Orthotic Devices (DF010N)
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce (HCPCS:A4394)
1 DME suppliers used 11 Medicare Claims 221 Services Paid
DME-Orthotic Devices (DF010N)
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each (HCPCS:A4409)
2 DME suppliers used 16 Medicare Claims 310 Services Paid
DME-Orthotic Devices (DF010N)
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each (HCPCS:A4425)
2 DME suppliers used 16 Medicare Claims 610 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 75246 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.19
- Minimum New Patient Price $57.18
- Maximum New Patient Price $172.86
- Average New Patient Copayment $22.04
- Minimum New Patient Copayment $14.29
- Maximum New Patient Copayment $43.21
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.28
- Minimum Established Patient Price $18.48
- Maximum Established Patient Price $141.2
- Average Established Patient Copayment $17.82
- Minimum Established Patient Copayment $4.62
- Maximum Established Patient Copayment $35.3
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for WALTER RUSSELL PETERS JR. M.D., M.B.A
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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 1316941123, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DALLAS, TX 75246
DALLAS, TX 75246
DALLAS, TX 75246
DALLAS, TX 75246
DALLAS, TX 75246
DALLAS, TX 75246
DALLAS, TX 75246
DALLAS, TX 75246
DALLAS, TX 75246
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316941123, enumerated as an "individual" on June 09, 2005.
The provider is located at 3409 WORTH ST WORTH TOWER, SUITE 640 DALLAS, TX 75246 and the phone number is (469) 800-7180.
Colon & Rectal Surgery with taxonomy code 208C00000X.
The provider might be accepting Accepts: Anthem Blue Cross, Medicare, Medicaid, Aetna,. Please consult your insurance carrier or call the provider to verify.
