DR. DAVID RANDOLPH PETERSON MD
NPI 1962943761
Orthopaedic Surgery in Apo, AE
About Dr. David Randolph Peterson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID RANDOLPH PETERSON MD (NPI 1962943761) is an individual orthopaedic surgery provider in Apo, AE, licensed in Hawaii (20106) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. David Randolph Peterson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show David Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marina Del Rey, CA 90292
- Reassigned Medicare billing, California enrollment
- 20 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
APO, AE 09180
APO, AE 09180
APO, AE 09180
APO, AE 09180
APO, AE 09180
APO, AE 09180
APO, AE 09180
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 David Peterson's NPI number?
The NPI number for David Peterson is 1962943761. It was assigned to this individual provider in the NPPES registry on March 13, 2017.
Where is David Peterson located?
David Peterson practices at Landstuhl Regional Medical Center Unit 33100, Apo, AE 09180. The listed phone number is (314) 590-8094.
What is David Peterson's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is David Peterson enrolled in Medicare?
Yes. David Peterson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for David Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Peterson reassigns Medicare benefits to Commons Clinic Medical Group, PC (Marina Del Rey, CA). 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 David 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 David Peterson was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.