JAMES D PETERS D.O.
NPI 1326151887
Orthopaedic Surgery in Dublin, GA

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
100 MEDICAL DR STE 400, DUBLIN, GA 31021(478) 353-1166(478) 353-1170 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 20, 2020, Jun 4, 2020 (2 updates tracked since 2020).

About James D Peters D.o. NPPES

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

JAMES D PETERS D.O. (NPI 1326151887) is an individual orthopaedic surgery provider in Dublin, Georgia, licensed in Georgia (036595) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dublin, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1326151887
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES D PETERSCredential: D.O.
Location Address100 MEDICAL DR STE 400Dublin, GA 31021-2561
Mailing AddressPo Box 370Fortson, GA 31808-0370 · Fax (706) 494-3008
Fax(478) 353-1170
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateAugust 17, 2006
Last NPPES UpdateNovember 20, 20202 updates tracked since enumeration
NPPES CertifiedNovember 20, 2020
NPI 1326151887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in GA · 036595
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

100 MEDICAL DR STE 400, Dublin, GA 31021

Secondary Practice Location 1

Location 12400 Bellevue RdDublin, GA 31021-2885 · Phone (478) 272-3022 · Fax (478) 272-4233

Other Identifiers 1

Medicaid00539569AGA

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

James D Peters D.o. 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 ID3476654930
PECOS Enrollment IDI20120425000124
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

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31021 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
23%95 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%26 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%26 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
13%46 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 27 patients
0%27 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physical Therapist
100 MEDICAL DR STE 400
DUBLIN, GA 31021
Physician Assistant (Surgical)
100 MEDICAL DR STE 400
DUBLIN, GA 31021
Durable Medical Equipment & Medical Supplies
100 MEDICAL DR STE 400
DUBLIN, GA 31021

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 James Peters's NPI number?

The NPI number for James Peters is 1326151887. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is James Peters located?

James Peters practices at 100 Medical Dr Ste 400, Dublin, GA 31021. The listed phone number is (478) 353-1166.

What is James Peters's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Peters enrolled in Medicare?

Yes. James 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 James Peters accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list James 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.

When was this NPI record last updated?

The NPPES record for James Peters was last updated on November 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.