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MALLORY ROSE PETERS MD
NPI 1811566151
Otolaryngology in Raleigh, NC

Active since June 22, 2021PECOS EnrolledAccepts Medicare Assignment
4600 LAKE BOONE TRL, RALEIGH, NC 27607(919) 787-1374 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 27, 2026, Jun 22, 2021 (2 updates tracked since 2021).

About Mallory Rose Peters Md NPPES

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

MALLORY ROSE PETERS MD (NPI 1811566151) is an individual otolaryngology provider in Raleigh, North Carolina, licensed in North Carolina (2026-01443) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1811566151
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameMALLORY ROSE PETERSCredential: MD
Location Address4600 LAKE BOONE TRLRaleigh, NC 27607-7528
Mailing Address4600 Lake Boone Trl Ste 100Raleigh, NC 27607-7529 · (919) 787-1374
Phone(919) 787-1374
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 22, 2021
Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1811566151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NC · 2026-01443
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.
4600 LAKE BOONE TRL, Raleigh, NC 27607
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mallory Rose Peters Md 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 ID2668930645
PECOS Enrollment IDI20260819004925
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.

Medicare Billing Reassignment

Medicare enrollment records show Mallory Peters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Raleigh Capitol Ear, Nose, And Throat
Same address
Otolaryngology
4600 LAKE BOONE TRL
Raleigh, NC 27607
  • Reassigned Medicare billing, North Carolina enrollment
  • 45 clinicians in this Medicare group
NPI 1902170442 (919) 787-1374

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Other Providers at the Same Location NPPES 7

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

DR. LISA R AFTON AU.D.
Audiologist
4600 LAKE BOONE TRL, SUITE 100
RALEIGH, NC 27607
Wake County (919) 787-1374
ERIN COBBLER DICKENS AUD
Audiologist-Hearing Aid Fitter
4600 LAKE BOONE TRL, SUITE 100
RALEIGH, NC 27607
Wake County (919) 787-1374
DR. JEEVAN B RAMAKRISHNAN M.D.
Otolaryngology
4600 LAKE BOONE TRL, SUITE 100
RALEIGH, NC 27607
Wake County (919) 787-1374
CHERYL MEDLEY MA. CCC-A
Audiologist
4600 LAKE BOONE TRL, SUITE 100
RALEIGH, NC 27607
Wake County (919) 787-1374
RALEIGH CAPITOL EAR, NOSE, AND THROAT
Otolaryngology
4600 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 787-1374
ELIZABETH ROONEY
Audiologist
4600 LAKE BOONE TRL, STE 100
RALEIGH, NC 27607
Wake County (919) 787-1374
DR. CLAIRE ALICIA MORGAN AU.D.
Audiologist
4600 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 787-1374

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 Mallory Peters's NPI number?

The NPI number for Mallory Peters is 1811566151. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Mallory Peters located?

Mallory Peters practices at 4600 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 787-1374.

What is Mallory Peters's specialty?

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

Is Mallory Peters enrolled in Medicare?

Yes. Mallory 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.

Which organization bills Medicare for Mallory Peters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Peters reassigns Medicare benefits to Raleigh Capitol Ear, Nose, And Throat (Raleigh, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Peters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mallory Peters was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.