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DOUGLAS PETERSON MD
NPI 1831185040
Specialist in Tucson, AZ

Active since September 22, 2005PECOS Enrolled
2585 N WYATT DR, TUCSON, AZ 85712(520) 721-2728(520) 721-0179 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Douglas Peterson Md NPPES

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

DOUGLAS PETERSON MD (NPI 1831185040) is an individual specialist in Tucson, Arizona, licensed in Arizona (21014) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831185040
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDOUGLAS PETERSONCredential: MD
Location Address2585 N WYATT DRTucson, AZ 85712-6104
Mailing Address2585 N Wyatt DrTucson, AZ 85712-6104 · (520) 721-2728 · Fax (520) 721-0179
Phone(520) 721-2728
Fax(520) 721-0179
Sole ProprietorNo
Enumeration DateSeptember 22, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1831185040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 21014
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2585 N WYATT DR, Tucson, AZ 85712
Open in Google Maps ↗

Other Identifiers 1

Medicaid132316AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Peterson Md 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.

Medicare Billing Reassignment

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

Adobe Gastroenterology, PC
Same address
Specialist
2585 N WYATT DR
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 11 clinicians in this Medicare group
NPI 1750595997 (520) 721-2973

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

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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
74%408 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
59%510 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%816 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
52%143 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
82%198 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
34%697 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
79%96 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
62%198 patients3/55-star benchmark: 100%
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 4

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

ADOBE PATHOLOGY LLC
Clinic/Center
2585 N WYATT DR
TUCSON, AZ 85712
Pima County (520) 721-2728
ADOBE SURGERY CENTER, PC
Clinic/Center (Ambulatory Surgical)
2585 N WYATT DR
TUCSON, AZ 85712
Pima County (520) 721-2728
SAM MOUSSA
Specialist
2585 N WYATT DR
TUCSON, AZ 85712
Pima County (520) 721-2728
ADOBE GASTROENTEROLOGY, PC
Specialist
2585 N WYATT DR
TUCSON, AZ 85712
Pima County (520) 721-2973

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 Douglas Peterson's NPI number?

The NPI number for Douglas Peterson is 1831185040. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Douglas Peterson located?

Douglas Peterson practices at 2585 N Wyatt Dr, Tucson, AZ 85712. The listed phone number is (520) 721-2728.

What is Douglas Peterson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Douglas Peterson enrolled in Medicare?

Yes. Douglas Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Peterson reassigns Medicare benefits to Adobe Gastroenterology, PC (Tucson, AZ). 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 Douglas Peterson'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 Douglas Peterson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.