Active NPI 1922004472 Individual Practitioner Male Practitioner

Dr. Theodore Thomas Peters , MD

Orthopaedic Surgery • Grapevine, TX

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Peters, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Grapevine, TX. Practice services are available at 2535 IRA E WOODS AVENUE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, x-ray of hand, minimum of 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2535 Ira E Woods Avenue

Grapevine, TX 760513930

Telephone 8174812121

Fax 8174884493

Associated Practice Facility / Clinic

🏢 Nto Physician Partners, Pllc Facility NPI 1306914312

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Grapevine, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 26.2 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

13 Specialists

Practicing in Grapevine, TX (1627 Statewide)

Telehealth Adoption Rate

15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	259	201	$144.84	$89.80
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	188	134	$11.99	$7.02
73130 X-ray of hand, minimum of 3 views	119	85	$113.80	$37.53
20550 Injection into tendon or ligament	115	84	$175.04	$53.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$191.00	$109.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	80	$191.00	$127.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	64	$90.00	$56.31
73110 X-ray of wrist, minimum of 3 views	58	41	$109.93	$40.07
20600 Aspiration and/or injection of fluid from small joint	47	37	$213.40	$56.23
26055 Incision of tendon covering	41	32	$1087.00	$549.04
29848 Release of wrist ligament using an endoscope	29	28	$1900.34	$492.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg	28	25	$20.00	$0.17
20526 Injection of carpal tunnel	25	20	$270.00	$83.65
73140 X-ray of finger, minimum of 2 views	25	19	$85.00	$37.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$276.00	$167.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	206	141	$145.00	$74.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	151	$191.00	$108.30
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	118	98	$12.00	$6.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$191.00	$105.92
20550 Injection into tendon or ligament	112	89	$178.26	$56.46
J1100 Injection, dexamethasone sodium phosphate, 1 mg	100	77	$20.00	$0.12
73130 X-ray of hand, minimum of 3 views	87	66	$112.28	$34.58
73110 X-ray of wrist, minimum of 3 views	62	38	$111.00	$38.65
73140 X-ray of finger, minimum of 2 views	43	27	$85.00	$34.48
20600 Aspiration and/or injection of fluid from small joint	36	33	$217.22	$57.09
29848 Release of wrist ligament using an endoscope	28	26	$2099.43	$512.21
20526 Injection of carpal tunnel	25	22	$300.00	$84.57
26055 Incision of tendon covering	22	18	$1087.00	$533.79
20605 Aspiration and/or injection of medium joint or joint capsule	18	15	$184.72	$54.71
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$115.00	$68.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	247	159	$12.00	$6.74
99213 Established patient office or other outpatient visit, typically 15 minutes	233	164	$145.00	$73.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	146	$191.00	$105.80
20550 Injection into tendon or ligament	127	94	$177.99	$51.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$191.00	$106.35
73130 X-ray of hand, minimum of 3 views	95	68	$108.66	$32.11
73110 X-ray of wrist, minimum of 3 views	53	39	$111.00	$35.22
73140 X-ray of finger, minimum of 2 views	47	26	$85.00	$32.26
20526 Injection of carpal tunnel	41	30	$341.46	$91.01
20600 Aspiration and/or injection of fluid from small joint	37	29	$188.38	$45.88
26055 Incision of tendon covering	34	25	$1087.00	$255.93
29848 Release of wrist ligament using an endoscope	34	32	$1837.00	$489.25
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$115.00	$75.95
73100 X-ray of wrist, 2 views	28	15	$99.00	$31.72
20605 Aspiration and/or injection of medium joint or joint capsule	19	17	$175.00	$41.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$90.00	$44.85
J1100 Injection, dexamethasone sodium phosphate, 1 mg	14	11	$20.00	$0.10
Q4014 Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass	11	11	$75.00	$24.92
29085 Application of hand and lower forearm cast	11	11	$255.00	$90.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	266	181	$12.00	$6.99
99213 Established patient office or other outpatient visit, typically 15 minutes	214	161	$145.00	$71.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	167	$191.00	$104.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	149	149	$191.00	$106.56
20550 Injection into tendon or ligament	124	93	$182.30	$50.83
73130 X-ray of hand, minimum of 3 views	91	67	$109.78	$31.17
73110 X-ray of wrist, minimum of 3 views	51	39	$111.00	$32.04
73140 X-ray of finger, minimum of 2 views	50	35	$86.70	$31.74
20605 Aspiration and/or injection of medium joint or joint capsule	49	42	$189.29	$50.69
20526 Injection of carpal tunnel	43	34	$290.70	$82.82
26055 Incision of tendon covering	32	23	$1087.00	$241.43
73100 X-ray of wrist, 2 views	27	17	$99.00	$31.06
29848 Release of wrist ligament using an endoscope	23	22	$1837.00	$454.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$90.00	$41.83
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$115.00	$71.94
20600 Aspiration and/or injection of fluid from small joint	15	14	$192.67	$47.78
20612 Aspiration and/or injection of cyst of tendon	11	11	$173.00	$60.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	275	169	$12.00	$6.76
99213 Established patient office or other outpatient visit, typically 15 minutes	193	144	$145.00	$70.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	154	154	$191.00	$105.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	141	$191.00	$103.70
20550 Injection into tendon or ligament	142	95	$174.30	$49.10
73130 X-ray of hand, minimum of 3 views	78	62	$111.00	$29.54
20605 Aspiration and/or injection of medium joint or joint capsule	60	49	$192.50	$46.12
73110 X-ray of wrist, minimum of 3 views	52	35	$111.00	$34.40
73100 X-ray of wrist, 2 views	43	26	$96.70	$28.20
73140 X-ray of finger, minimum of 2 views	41	28	$85.00	$30.67
20526 Injection of carpal tunnel	34	25	$323.53	$84.95
26055 Incision of tendon covering	26	20	$1087.00	$244.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$90.00	$42.41
29848 Release of wrist ligament using an endoscope	23	21	$1916.87	$499.42
73070 X-ray of elbow, 2 views	19	12	$111.00	$26.44
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	16	14	$75.00	$19.07
64721 Release and/or relocation of hand nerve	14	12	$964.29	$393.48
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$115.00	$72.56

Medical Specialties & State Licenses

CMS Verified: 2020-04-27

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX F4371

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Hand Surgery

NUCC Taxonomy Code: 207XS0106X

State License TX F4371

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

099325501 (TX)

Commercial Insurance / Payer ID Blue Cross Blue Shield

82X722 (TX)

Secondary Practice Locations

4501 Heritage Trace Parkway, Suite 101

Fort Worth, TX 762448940

Phone: 8174812121

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Eric Stehly , MD

Orthopaedic Surgery

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Doctor of Medicine (M.D.)

Jinal Wani

Physical Therapist

NPI 1043136054

Kandy Kobar , OTR

Occupational Therapist - Hand

NPI 1053363721

Occupational Therapist Registered

Aubry Fisk , LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1073587762

Licensed Athletic Trainer, Certified Athletic Trainer

Dr. Michael Briseno , MD

Orthopaedic Surgery

NPI 1083875827

Doctor of Medicine (M.D.)

Dr. Ashlee Ford , PT, DPT

Physical Therapist

NPI 1093116667

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2016

Registered at 2535 IRA E WOODS AVENUE, GRAPEVINE, TX 760513930 (Tel: 8174812121)

📍

Updated Business Mailing Address September 28, 2016

Registered at 2535 IRA E WOODS AVENUE, GRAPEVINE, TX 760513930 (Tel: 8174812121)

👤

Provider Name / Credentials Updated September 28, 2016

Recorded as THEODORE PETERS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2016

Orthopaedic Surgery (License #F4371 in TX)

🟢

Initial NPI Registration & Enumeration June 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1922004472

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 21, 2005

Last Update: April 27, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2535 Ira E Woods Avenue

Grapevine, TX 760513930

Phone: 8174812121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.