Individual provider Active NPI

Paul C Peters Jr., M.D.

  • Orthopaedic Surgery Physician
  • Dallas, TX
National Provider Identifier
1356498299
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G8339 Issued in TX
Practice address
9301 N Central Expy Ste 500
Dallas, TX 75231-0805
Phone
(214) 220-2468
Fax
(214) 720-1982
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 101043615 VA
Orthopaedic Surgery Physician 207X00000X G8339 TX Primary

Addresses

Primary practice location

9301 N Central Expy Ste 500
Dallas, TX 75231-0805

Mailing address

9301 N Central Expy Ste 400
Dallas, TX 75231-0805
Phone (214) 220-2468

Other identifiers 2

IdentifierTypeStateIssuer
200014314OtherTXRAILROAD MEDICARE
103191601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000651 TX Practitioner - Orthopedic Surgery 5294811105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

9301 N Central Expy
Suite 500
Dallas, TX 75231-0805
Phone (214) 220-2468

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Sulphur Springs, TX, CCN 679076
  • Amatus Health Care LLC Home health agency, Farmers Branch, TX, CCN 747682
  • Enhabit Home Health Home health agency, Dallas, TX, CCN 678243
  • North Central Surgical Center LLP Hospital, Dallas, TX, CCN 670049
  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
  • Methodist McKinney Hospital Hospital, McKinney, TX, CCN 670069
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036
  • C C Young Memorial Home Nursing home, Dallas, TX, CCN 675592

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as individual
Quality
85.37
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement86
Knee replacement158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G8339TXMDOrthopaedic Surgery Physician
101043615VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC Orthopaedic Surgery CurrentSince Oct 1, 2020 Accepting new patients
Ortholonestar, PLLC Orthopaedic Surgery CurrentSince Oct 1, 2020 Accepting new patients

Locations

9301 N Central Expy
Ste 400500
Dallas, TX 75231

9301 N Central Expy
Ste 400
Dallas, TX 75231

9301 N Central Expy
Ste 220
Dallas, TX 75231
Phone (210) 220-2468

9301 N Central Expy
Ste 500
Dallas, TX 75231

9301 N Central Expy
Ste 451
Dallas, TX 75231
Phone (214) 397-1570

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

Interoperability endpoints

  • Direct secure messaging: paul.peters.1@15533.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1356498299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310805",
            "telephone_number": "214-220-2468",
            "fax_number": "214-720-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310805",
            "telephone_number": "214-220-2468",
            "fax_number": "214-720-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "PAUL",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "101043615",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "G8339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200014314",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103191601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.