Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Dr. Tristan Ross Peregrino Fowler, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1881044006

Dr. Tristan Ross Peregrino Fowler, DO practises Obstetrics/Gynecology in Sikeston, Missouri. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2016, 10 years ago. Practices with Missouri Delta Medical Center, a 131-clinician group and accepts Medicare assignment. Licensed in Kansas and Michigan.

Years since qualifying
10
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
KS, MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1013 N Main St
Sikeston, MO 63801-5043
Phone: (573) 472-7535
Fax: (573) 472-7787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 05-43441 (KS)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 5101022338 (MI)

Record details

NPI number1881044006
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 18, 2016
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2016 (10 years in practice)
Group practice Missouri Delta Medical Center — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Removal of the uterus 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $14 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Missouri Delta Medical Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 131 clinicians in the practice; 12 are shown here.

Other providers in Sikeston