Douglas E. Peterson, LLC
NPI 1336491612 · Sports Medicine (Orthopaedic Surgery) Physician · Danvers, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas E. Peterson, LLC is a Sports Medicine (Orthopaedic Surgery) Physician organization in Danvers, MA (NPI 1336491612).
Provider details
- NPI number
- 1336491612
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Douglas Peterson, Orthopedic Surgeon(978) 774-3400
- License
- 153208 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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.
Practice location
Mailing address
Additional practice locations (1)
- 100 Highland Ave Ste 101Salem, MA 01970-2702Phone: (978) 745-0820Fax: (978) 774-5883
Registry dates
- Enumerated
- 2012-10-10
- Last updated
- 2021-12-14
- Certified
- 2021-12-14
Frequently asked questions
- What is Douglas E. Peterson, LLC's NPI number?
- Douglas E. Peterson, LLC's National Provider Identifier (NPI) is 1336491612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Douglas E. Peterson, LLC?
- Douglas E. Peterson, LLC is classified in the NPPES registry as Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas E. Peterson, LLC located?
- Douglas E. Peterson, LLC's practice location on file with NPPES is 4 State Rd, Danvers, MA 01923-2567.
- What is Douglas E. Peterson, LLC's phone number?
- The practice phone number listed in the NPPES registry for Douglas E. Peterson, LLC is (978) 774-3400.
- Does Douglas E. Peterson, LLC accept Medicare?
- Douglas E. Peterson, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Douglas E. Peterson, LLC?
- The authorized official listed on Douglas E. Peterson, LLC's NPPES record is Douglas Peterson, Orthopedic Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Douglas E. Peterson, LLC's NPI active?
- Yes — Douglas E. Peterson, LLC's NPI (1336491612) is active in the NPPES registry as of the last update on 2021-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.