DR. TRISTAN ROSS PEREGRINO FOWLER DO
NPI 1881044006
Obstetrics & Gynecology in Sikeston, MO

Q: What is Tristan Fowler's NPI number?

The NPI number for Tristan Fowler is 1881044006. It was assigned to this individual provider in the NPPES registry on June 18, 2016.

Q: What is Tristan Fowler's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tristan Fowler was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 18, 2016PECOS EnrolledAccepts Medicare Assignment

1013 N MAIN ST, SIKESTON, MO 63801(573) 472-7535(573) 472-7787 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2025, Aug 1, 2020, Oct 24, 2018 and 2 more (5 updates tracked since 2016).

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About Dr. Tristan Ross Peregrino Fowler Do NPPES

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

DR. TRISTAN ROSS PEREGRINO FOWLER DO (NPI 1881044006) is an individual obstetrics & gynecology provider in Sikeston, Missouri, licensed in Kansas (05-43441) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Missouri Delta Medical Center, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2016).

NPPES Registry Identity

NPI1881044006

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. TRISTAN ROSS PEREGRINO FOWLERCredential: DO

Location Address1013 N MAIN STSikeston, MO 63801-5043

Mailing Address1013 N Main StSikeston, MO 63801-5043 · (573) 472-7535 · Fax (573) 472-7787

Phone(573) 472-7535

Fax(573) 472-7787

Sole ProprietorYes

Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2016

Enumeration DateJune 18, 2016

Last NPPES UpdateDecember 2, 20255 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1881044006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in KS · 05-43441✔ Licensed in MI · 5101022338

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1013 N MAIN ST, Sikeston, MO 63801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica 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

Dr. Tristan Ross Peregrino Fowler Do 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 ID6305268830

PECOS Enrollment IDI20240717002776

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.

Hospital Affiliations CMS Care Compare

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

Missouri Delta Medical Center

Acute Care Hospitals · Sikeston, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260113

Location1008 North Main StSikeston, MO 63801 · Scott County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63801 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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

Breast Cancer Screening

60%43 patients3/55-star benchmark: 93%

Cervical Cancer Screening

80%520 patients4/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

14%76 patients1/55-star benchmark: 87%

Controlling High Blood Pressure

71%24 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

93%984 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

39%480 patients2/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 53% · 502 patients

Patients screened: 60% · 502 patients

28%46 patients2/55-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 8

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

DR. FARRAH TRAQUEL MCSPADDEN M.D.

Obstetrics & Gynecology