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

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: October 18, 2026.

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

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 Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tristan Fowler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Missouri Delta Medical Center
1.4 mi
General Acute Care Hospital
1008 N MAIN ST
Sikeston, MO 63801
  • Reassigned Medicare billing, Missouri enrollment
  • 203 clinicians in this Medicare group
NPI 1831269539 (573) 471-1600
Big Springs Medical Association
46 mi
Federally Qualified Health Center (FQHC)
711 NICKEY ST
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 104 clinicians in this Medicare group
NPI 1952178337 (573) 785-7047

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

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
1013 N MAIN ST
SIKESTON, MO 63801
Scott County (573) 472-7535
FALLAN NICHOLE MAYABB M.D.
Obstetrics & Gynecology
1013 N MAIN ST
SIKESTON, MO 63801
Scott County (573) 472-7535
SHERRY D WELKER WHNP
Nurse Practitioner (Women's Health)
1013 N MAIN ST
SIKESTON, MO 63801
Scott County (573) 472-7535
DR. DAVID W STROUD MD
Obstetrics & Gynecology
1013 N MAIN ST
SIKESTON, MO 63801
Scott County (573) 472-7535
JANE E EAVES WHNP
Nurse Practitioner (Women's Health)
1013 N MAIN ST
SIKESTON, MO 63801
Scott County (573) 472-7535
DR. JENNIFER A NICKELL MD
Obstetrics & Gynecology
1013 N MAIN ST
SIKESTON, MO 63801
Scott County (573) 472-7535
EMMY DANYELE SCOTT
Nurse Practitioner (Family)
1013 N MAIN ST
SIKESTON, MO 63801
Scott County (573) 472-7535
DR. LACEY ROSE YOUNG MD
Family Medicine
1013 N MAIN ST
SIKESTON, MO 63801
Scott County (573) 472-7535

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 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.

Where is Tristan Fowler located?

Tristan Fowler practices at 1013 N Main St, Sikeston, MO 63801. The listed phone number is (573) 472-7535.

What is Tristan Fowler's specialty?

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

Is Tristan Fowler enrolled in Medicare?

Yes. Tristan Fowler 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 organizations bill Medicare for Tristan Fowler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tristan Fowler reassigns Medicare benefits to 2 organizations: Missouri Delta Medical Center (Sikeston, MO) and Big Springs Medical Association (Poplar Bluff, MO). Each 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 Tristan Fowler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tristan Fowler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Tristan Fowler 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.

Is Tristan Fowler affiliated with any hospitals?

According to CMS data, Tristan Fowler is affiliated with Missouri Delta Medical Center.

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 10 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.