Dylan Peterson, MD
NPI 1083134019 · Family Medicine Physician · Tacoma, WA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1083134019
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- LP04110 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 29 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 114 | 34 |
| Gabapentin | 72 | 13 |
| Sertraline Hcl | 55 | — |
| Lisinopril | 52 | 19 |
| Metformin Hcl | 34 | — |
| Amlodipine Besylate | 31 | — |
| Losartan Potassium |
Practice location
Mailing address
Additional practice locations (2)
- 111 Brewster StFcc CPawtucket, RI 02860Phone: (401) 729-2769Fax: (401) 729-2772
- 450 Clinton StWoonsocket, RI 02895-3207Phone: (401) 767-4100Fax: (401) 235-6896
Registry dates
- Enumerated
- 2017-06-21
- Last updated
- 2021-06-29
- Certified
- 2021-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.