Dr. David A Peifer , DO
Urology โข Tyler, TX
910 E Houston St Ste 600
Tyler, TX 757028304
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on June 26, 2018; this date does not establish years in practice.
-
Published CMS data list 862 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 274 service units.
- 52000 โ Diagnostic exam of bladder and urethra using an endoscope: 111 service units.
- 99204 โ New patient outpatient office visit: 107 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 17 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 1,190 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Tamsulosin Hcl โ 418 prescription fills, including refills.
- Ciprofloxacin Hcl โ 139 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 112 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 17 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
Fewer Medicare Part B services than 65% of clinicians listed under Urology in Tyler, TX (2024, 13 clinicians with data). Median for this group: 998. Middle half: 811 to 1,786.
Fewer Medicare Part B services than 65% of clinicians listed under Urology in Texas (2024, 608 clinicians with data). Median for this group: 1,751. Middle half: 623 to 4,690.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 172 in 2023 to 862 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023โ2024.
Practice Location & Contact Primary Location
910 E Houston St Ste 600
Tyler, TX 757028304
CMS Doctors and Clinicians lists 1 group name: Christus Trinity Clinic. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Arizona College Of Osteopathic Medicine Mid Western University
2018
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
500 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $103,268 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $76,167 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
1,948 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$39,587 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $640.64 across 8 records.
By nature of payment
- Food and Beverage: $640.64 across 8 records.
Reporting-company totals (3 largest of 5)
- Boston Scientific Corporation: $223.69 across 3 records.
- GE HEALTHCARE: $162.07 across 2 records.
- IMMUNITYBIO, INC.: $144.44 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
8 years (graduated 2018)
CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Peifer has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Peifer as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Tyler and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 65% of clinicians listed under Urology in Tyler, TX (2024, 13 clinicians with data). Median for this group: 998. Middle half: 811 to 1,786.
Fewer Medicare Part B services than 65% of clinicians listed under Urology in Texas (2024, 608 clinicians with data). Median for this group: 1,751. Middle half: 623 to 4,690.
Medicare-allowed amount
Close to the middle for clinicians listed under Urology in Tyler, TX (2024, 13 clinicians with data). Median for this group: $106,965. Middle half: $86,742 to $124,096.
Close to the middle for clinicians listed under Urology in Texas (2024, 608 clinicians with data). Median for this group: $130,907. Middle half: $56,287 to $242,595.
Paid by Medicare
Close to the middle for clinicians listed under Urology in Tyler, TX (2024, 13 clinicians with data). Median for this group: $76,167. Middle half: $68,777 to $92,874.
Close to the middle for clinicians listed under Urology in Texas (2024, 608 clinicians with data). Median for this group: $98,400. Middle half: $41,252 to $185,944.
Medicare Part D prescriptions
Fewer Part D prescriptions than 75% of clinicians listed under Urology in Tyler, TX (2024, 13 clinicians with data). Median for this group: 1,696. Middle half: 1,190 to 2,311.
Close to the middle for clinicians listed under Urology in Texas (2024, 667 clinicians with data). Median for this group: 1,254. Middle half: 393 to 2,342.
Part D drug cost
A lower Part D drug cost than 80% of clinicians listed under Urology in Tyler, TX (2024, 13 clinicians with data). Median for this group: $134,544. Middle half: $60,682 to $176,532.
A lower Part D drug cost than 70% of clinicians listed under Urology in Texas (2024, 667 clinicians with data). Median for this group: $146,128. Middle half: $29,835 to $354,962.
17 active clinicians are listed under Urology with a practice address in Tyler, TX (961 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Tyler
5.9% of these 17 clinicians have the CMS telehealth indicator.
76.5% of these 17 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services increased 401% from 172 in 2023 to 862 in 2024.
- 2023: 172
- 2024: 862
-
Medicare-allowed amount
Medicare-allowed amount increased 554% from $15,785 in 2023 to $103,268 in 2024.
- 2023: $15,785
- 2024: $103,268
-
Paid by Medicare
Paid by Medicare increased 530% from $12,093 in 2023 to $76,167 in 2024.
- 2023: $12,093
- 2024: $76,167
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 732% from 143 in 2020 to 1,190 in 2024.
- 2020: 143
- 2021: 197
- 2022: 143
- 2023: 214
- 2024: 1,190
-
30-day fills
30-day fills increased 1263% from 143 in 2020 to 1,948 in 2024.
- 2020: 143
- 2021: 199
- 2022: 157
- 2023: 295
- 2024: 1,948
-
Part D drug cost
Part D drug cost went from $507 in 2020 to $39,587 in 2024.
- 2020: $507
- 2021: $652
- 2022: $639
- 2023: $9,758
- 2024: $39,587
-
Industry payments (Open Payments)
Industry payments (Open Payments) decreased 56% from $1,465.03 in 2021 to $640.64 in 2025.
- 2021: $1,465.03
- 2022: $935.83
- 2023: $2,736.59
- 2024: $1,928.91
- 2025: $640.64
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $640.64.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Erectile Dysfunction | General | $174.59 |
| IMMUNITYBIO, INC. |
Food and Beverage
In-kind items and services
|
ANKTIVA | General | $144.44 |
| GE HEALTHCARE |
Food and Beverage
In-kind items and services
|
โ | General | $111.06 |
| Dendreon Pharmaceuticals LLC |
Food and Beverage
In-kind items and services
|
PROVENGE | General | $92.45 |
| GE HEALTHCARE |
Food and Beverage
In-kind items and services
|
โ | General | $51.01 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Erectile Dysfunction | General | $31.80 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $17.99 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Female SUI | General | $17.30 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2023โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
274 | 222 | $289.00 | $92.48 |
|
52000
Diagnostic exam of bladder and urethra using an endoscope
|
111 | 99 | $842.00 | $76.20 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
107 | 107 | $375.00 | $127.36 |
|
76872
Ultrasound scan of pelvic region through rectum
|
57 | 55 | $112.00 | $30.92 |
|
G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
54 | 53 | $24.00 | $15.75 |
|
55700
Biopsy of prostate gland
|
49 | 49 | $833.00 | $123.79 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
45 | 44 | $204.00 | $62.96 |
|
99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
|
30 | 30 | $300.00 | $124.20 |
|
36415
Insertion of needle into vein for collection of blood sample
|
21 | 14 | $30.00 | $8.65 |
|
52332
Insertion of stent in ureter using an endoscope
|
18 | 16 | $1409.00 | $140.80 |
|
52356
Crushing of stone of ureter with insertion of stent using an endoscope
|
18 | 18 | $1407.28 | $394.27 |
|
76942
Ultrasonic guidance for needle placement
|
17 | 17 | $105.00 | $28.71 |
|
52601
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope
|
14 | 14 | $2455.00 | $692.50 |
|
52235
Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm
|
13 | 12 | $963.00 | $272.63 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
12 | 12 | $251.00 | $78.24 |
|
38571
Removal of lymph nodes of both sides of pelvis using an endoscope
|
11 | 11 | $2234.00 | $342.46 |
|
55866
Surgical removal of prostate and surrounding lymph nodes using an endoscope
|
11 | 11 | $5065.23 | $1123.51 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 418 | 25,730 | $5,735.68 | 177 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 139 | 903 | $686.78 | 118 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 112 | 191 | $377.90 | 98 |
| Finasteride | Finasteride | 95 | 6,193 | $1,347.86 | 29 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 77 | 959 | $311.67 | 68 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 54 | 3,462 | $1,158.22 | 21 |
| Oxybutynin Chloride | Oxybutynin Chloride | 49 | 968 | $373.17 | 41 |
| Cephalexin | Cephalexin | 40 | 780 | $294.28 | 28 |
| Myrbetriq | Mirabegron | 37 | 1,830 | $26,062.37 | 15 |
| Diclofenac Sodium | Diclofenac Sodium | 28 | 140 | $68.65 | 26 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 27 | 1,890 | $615.57 | 12 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 25 | 217 | $199.26 | 19 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 21 | 471 | $520.74 | 18 |
| Dutasteride | Dutasteride | 19 | 1,710 | $749.90 | โ |
| Bicalutamide | Bicalutamide | 18 | 600 | $284.75 | 13 |
| Solifenacin Succinate | Solifenacin Succinate | 17 | 644 | $599.08 | โ |
| Gavilyte-G | Peg3350/Sod Sulf,bicarb,cl/Kcl | 14 | 16 | $201.06 | 14 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-03-01NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20230807001856
TX
5092061853
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Christus Trinity Clinic
630 S Fleishel Ave, Tyler, TX 757012041
Phone: 9036065560
Christus Trinity Clinic
1302 N Pacific St, Mineola, TX 757731022
Phone: 9035695383
Christus Trinity Clinic
800 E Dawson St, Tyler, TX 757012036
Phone: 9035101186
Christus Trinity Clinic
Po Box, Dallas, TX 752846098
Christus Trinity Clinic
910 E Houston St, Tyler, TX 757028364
Christus Trinity Clinic
620 S Fleishel Ave, Tyler, TX 757012041
Phone: 9036064900
Christus Trinity Clinic
18780 Interstate 20, Canton, TX 751033593
Phone: 9035674841
Christus Trinity Clinic
105 Zeid Blvd, Henderson, TX 756526070
Phone: 9035952283
Christus Trinity Clinic
3201 S Loop, Palestine, TX 758016901
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Urology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Urology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 910 E HOUSTON ST STE 600, TYLER, TX 757028304 (Tel: 9035262644)
Registered at 910 E HOUSTON ST STE 600, TYLER, TX 757028304 (Tel: 9036062764)
Urology (license number reported to NPPES: TX U2604)
NPI status registered as active in NPPES database
Registered at 5900 BYRON CENTER AVE SW, WYOMING, MI 495199606 (Tel: 6162527635)
Registered at 5900 BYRON CENTER AVE SW, WYOMING, MI 495199606
Recorded as DAVID PEIFER, DO
Urology (license number reported to NPPES: MI 5101023939)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Urology Specialists in Tyler
- Dr. Clark Wilson, MD
- Dr. Ryan Tubre, MD
- Dr. William Harrell, MD
- Dr. Thomas Bright, MD
- Dr. Robyn Roberts, MD
- Dr. Steven Lomax, MD
Mailing Address
910 E Houston St Ste 600
Tyler, TX 757028304
Phone: 9036062764