Individual provider Active NPI

Daniel L Peterson, M.D.

  • Neurological Surgery Physician
  • Austin, TX
National Provider Identifier
1518027366
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
J6207 Issued in TX
Practice address
3003 Bee Caves Rd Ste 201
Austin, TX 78746-5550
Phone
(512) 795-2225
Fax
(512) 795-0701
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X J6207 TX Primary

Addresses

Primary practice location

3003 Bee Caves Rd Ste 201
Austin, TX 78746-5550

Mailing address

3003 Bee Caves Rd Ste 201
Austin, TX 78746-5550
Phone (512) 795-2225

Other identifiers 5

IdentifierTypeStateIssuer
120619503OtherTXTPI
4599570OtherTXAETNA
P000N72D6MedicaidTX
140005923OtherTXMEDICARE RAILROAD
89732FOtherTXBLUE CROSS BLUE SHIELD

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
I20060510000566 TX Practitioner - Neurosurgery 2860403458 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians
Integrated Pain Associates PLLCGroup PAC ID 6204973894, 33 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-7000

3800 S W S Young Dr
Suite 201
Killeen, TX 76542-3340
Phone (254) 245-9175

Hospital & facility affiliations

  • Atlas Health, LLC Home health agency, San Antonio, TX, CCN 747814
  • Capitol Home Health Home health agency, Austin, TX, CCN 747581
  • Dell Seton Med Center at the University of TX Hospital, Austin, TX, CCN 450124
  • The Hospital at Westlake Medical Center Hospital, Austin, TX, CCN 670006
  • Ascension Seton Southwest Hospital, Austin, TX, CCN 450865
  • Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152

Merit-based Incentive Payment System (MIPS)

Final score
74.91 of 100Reported as group
Quality
70.09
Promoting interoperability
95
Improvement activities
40
Cost
50.45

Merit-based Incentive Payment System (MIPS)

Final score
50.43 of 100Reported as individual
Quality
0
Improvement activities
40
Cost
68.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion92
Laminectomy or laminotomy (partial removal of spine bones)77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Medical Group CurrentSince Aug 1, 2022 Accepting new patients
Integrated Pain Associates PLLC CurrentSince May 7, 2023 Accepting new patients
Integrated Pain Associates PLLC CurrentSince May 7, 2023 Accepting new patients
Arise Medical Group CurrentSince Aug 1, 2022 Accepting new patients

Locations

4351 Ridgemont Dr
Ste A
Abilene, TX 79606
Phone (325) 698-4545

3003 Bee Caves Rd
Ste 200
Austin, TX 78746
Phone (512) 410-0767

3003 Bee Caves Rd
Ste 202
Austin, TX 78746
Phone (512) 371-6398

3003 Bee Caves Rd
Austin, TX 78746
Phone (512) 314-3800

3003 Bee Caves Rd
Ste 201
Austin, TX 78746
Phone (512) 314-3910

3800 S W S Young Dr
Ste 201
Killeen, TX 76542
Phone (254) 213-0489

Interoperability endpoints

  • Direct secure messaging: daniel.peterson.1@16734.direct.athenahealth.com

Organizations & group practices 5

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 6

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1518027366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 BEE CAVES RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465550",
            "telephone_number": "512-795-2225",
            "fax_number": "512-795-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 BEE CAVES RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465550",
            "telephone_number": "512-795-2225",
            "fax_number": "512-795-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DANIEL",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "J6207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "120619503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4599570",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000N72D6",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "140005923",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "89732F",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.