DOUGLAS W PETERS M.D.
NPI 1528134343
Family Medicine in West Burlington, IA

Q: What is Douglas Peters's NPI number?

The NPI number for Douglas Peters is 1528134343. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Q: What is Douglas Peters's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Peters was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 24, 2006PECOS EnrolledAccepts Medicare Assignment

77.81/100

CMS Quality Rating

1201 W AGENCY RD, WEST BURLINGTON, IA 52655(319) 754-4242(319) 754-4079 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Douglas W Peters M.d. NPPES

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

DOUGLAS W PETERS M.D. (NPI 1528134343) is an individual family medicine provider in West Burlington, Iowa, licensed in Iowa (32579) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1997).

NPPES Registry Identity

NPI1528134343

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDOUGLAS W PETERSCredential: M.D.

Location Address1201 W AGENCY RDWest Burlington, IA 52655-1645

Mailing Address1201 W Agency RdWest Burlington, IA 52655-1645 · (319) 754-4242 · Fax (319) 754-4079

Phone(319) 754-4242

Fax(319) 754-4079

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1997

Enumeration DateNovember 24, 2006

Last NPPES UpdateOctober 23, 2007

✔ NPI 1528134343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · 32579

Definition

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.

1201 W AGENCY RD, West Burlington, IA 52655

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Other Identifiers 3

Medicare UPING53066IA

Medicare PINI0516IA

Medicaid2154286IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Douglas W 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 ID3072656347

PECOS Enrollment IDI20100629000069

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 7

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 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.

796 services387 patients

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.

234 services173 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

160 services160 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

48 services41 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

38 services32 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

22 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160057

Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County

Emergency services Birthing friendly

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number160058

Location200 Hawkins DriveIowa City, IA 52242 · Johnson County

Emergency services Birthing friendly

Henry County Health Center

Critical Access Hospitals · Mount Pleasant, IA

OwnershipGovernment - Local

CMS Certification Number161356

Location407 S White StMount Pleasant, IA 52641 · Henry County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

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.

77.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.62

Promoting Interoperability

100

Improvement Activities

Cost

58.43

Referred Medical Equipment & Supplies CMS DME claims 20

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers103 claims338 services$5.78 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers39 claims52 services$0.94 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

1 supplier13 claims206 services$4.92 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030