Active NPI
Robert Daniel Peters, M.D.
- Otolaryngology Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 2019-02065
- Practice address
- 4600 Lake Boone TR
Suite 100
Raleigh, NC 27607 - Phone
- (919) 420-2027
- Fax
- (919) 571-8135
- NPI assigned
- Jun 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 2019-02065 | NC | |
| Otolaryngology Physician | 207Y00000X | 2019-02065 | NC | Primary |
Addresses
Primary practice location
4600 Lake Boone TR
Suite 100
Raleigh, NC 27607
Mailing address
4600 Lake Boone TR
Suite 100
Raleigh, NC 27607
Phone (919) 420-2027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Michigan Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3010 Anderson Dr
Raleigh, NC 27609-7798
Phone (919) 787-7171
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.65 of 100
- Quality
- 93.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.56
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Head & Neck Surgeons | Otolaryngology | Current | Accepting new patients |
| Raleigh Capitol Ear, Nose, and Throat | Otolaryngology | Current | Accepting new patients |
| Capitol Ear, Nose & Throat | Past | Accepting new patients |
Locations
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
101 The City Dr S
Bldg 25
Orange, CA 92868
Phone (714) 456-5731
1505 SW Cary Pkwy
Ste 301
Cary, NC 27511
Phone (919) 367-7717
300 Health Park Dr
Ste 210
Garner, NC 27529
Phone (919) 662-8181
2051 Ralph Stephens Rd
Holly Springs, NC 27540
3010 Anderson Dr
Raleigh, NC 27609
Phone (919) 420-2029
4600 Lake Boone Trl
Ste 100
Raleigh, NC 27607
Phone (919) 420-2027
4600 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 787-1374
Interoperability endpoints
- dpeters@raleighcapitolent.emadirect.md
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Raleigh, NC
- NPI 1902170442
-
- Otolaryngology Physician
- Orange, CA
- NPI 1669437075
-
- Otolaryngology/Facial Plastic Surgery Physician
- Raleigh, NC
- NPI 1477554327
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1225476609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 LAKE BOONE TR",
"address_2": "SUITE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27607",
"telephone_number": "919-420-2027",
"fax_number": "919-571-8135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 LAKE BOONE TR",
"address_2": "SUITE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27607",
"telephone_number": "919-420-2027",
"fax_number": "919-571-8135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "ROBERT",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-07",
"last_updated": "2024-10-16",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NC",
"license": "2019-02065",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NC",
"license": "2019-02065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.