Peter Thomas Sylvester Jr.

  • Washington, MO
  • Neurosurgeon
NPI1538574538PAC ID8224258645
Medicare services, 2024
494
Medicare patients, 2024
229
Part D claims, 2024
424
Hospital affiliations
6
Industry payments
$11,719
Practice address
851 E 5th St, Washington, MO 63090
Practice phone
Call (636) 239-0018
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Missouri Podiatric Surgicare

Washington, Missouri

See all 11 affiliations

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Peter Thomas Sylvester Jr. is a neurosurgeon in Washington, Missouri

Peter Sylvester practices at Missouri Podiatric Surgicare in Washington, Missouri.

Peter Sylvester's NPI, 1538574538, was assigned on June 27, 2014. Peter Sylvester holds Missouri license 2018037327.

NPI and contact details
Medicare PAC ID
8224258645
NPI enumeration date
June 27, 2014
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(636) 239-0018
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
31
Medical school graduation
2021

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Peter Thomas Sylvester Jr. practices at Missouri Podiatric Surgicare in Washington, Missouri

Peter Sylvester's primary practice is Missouri Podiatric Surgicare, at 851 E 5th St, Washington, MO 63090 in Franklin County. The practice phone is (636) 239-0018.

  • Missouri Podiatric Surgicare
    851 E 5th St, Washington, MO 63090 · Franklin CountyPhone(636) 239-0018

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Peter Thomas Sylvester Jr. is affiliated with 9 sites of care and 2 medical groups

Peter Sylvester's primary practice is Missouri Podiatric Surgicare in Washington, Missouri. Peter Sylvester is also affiliated with Mercy Hospital Washington. The medical group on file is Mercy Clinic Surgical Specialists. Dmand AI also links Peter Sylvester to 5 more hospitals, 2 group practices and clinics and 1 medical group, each named with a free account.

See all 11 affiliations for Peter Sylvester

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Peter Thomas Sylvester Jr.'s practice

Dmand AI tracks the electronic health record (EHR) system at each site where Peter Sylvester practices, 8 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Missouri Podiatric SurgicareAvailable with a free account
+8 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Peter Thomas Sylvester Jr. is one of 173 neurosurgeons in Missouri

Neurological surgery is Peter Sylvester's primary specialty in the NPI Registry, under taxonomy code 207T00000X. Peter Sylvester is licensed in Missouri.

Specialties and state licenses

  • Neurological surgery, MissouriPrimaryLicense 2018037327 · taxonomy 207T00000X

Neurosurgeons near Peter Sylvester

Counts of neurosurgeons with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Peter Thomas Sylvester Jr. billed Medicare for 494 services in 2024

CMS data shows 494 Medicare services from Peter Sylvester across 16 procedure codes in 2024, for 229 Medicare patients. Medicare paid $53,700 for them.

Medicare services, 2024494
Medicare patients229
Paid by Medicare$53,700
Procedure codes16

Peter Sylvester's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 4442024: 39012%
Imaging
2023: 672024: 5222%
Surgery
2023: 482024: 3429%
Tests and treatments
2023: 1282024: 1886%

Where Peter Sylvester's Medicare services took place, 2024

  • In an office29259%
  • In a facility20241%

Peter Sylvester compared with the Missouri median for neurosurgeons, 2024

  • Peter Sylvester
  • Missouri median
Medicare services
494vs 2132.3 times
Medicare patients
229vs 16241% above
Part D claims
382vs 924.2 times

Medians across 162 neurosurgeons in Missouri with Dmand AI profiles that report each measure.

Peter Sylvester's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Peter Thomas Sylvester Jr. treated 229 Medicare patients in 2024, average age 76

CMS counts 229 Medicare patients who saw Peter Sylvester in 2024. The largest group is 75 to 84, with 92 patients. 75% of them have arthritis, and 75% have high blood pressure. 6% are also on Medicaid. Their average risk score is 1.55, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Peter Sylvester's median patient age at 71, with 46% women.

Medicare patients, 2024229
Average age76
Average risk score1.55
Also on Medicaid6%

Peter Sylvester's Medicare patients by age, 2024

Peter Sylvester's Medicare patients by sex, 2024

  • Women10546%
  • Men12454%

Chronic conditions among Peter Sylvester's Medicare patients, 2024

  1. Arthritis75%
  2. High blood pressure75%
  3. High cholesterol75%
  4. Ischemic heart disease43%
  5. Anxiety42%
  6. Mood disorders42%
  7. Depression40%
  8. Chronic kidney disease34%

Share of Medicare patients with each condition. A patient can have several.

Peter Sylvester's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 71

Patient panel by sex, all payers

  • Women46%
  • Men53%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Peter Thomas Sylvester Jr. wrote 424 Medicare Part D claims in 2024

In 2024, Peter Sylvester wrote 424 Medicare Part D claims for 123 patients. 100% of them were for generic drugs. CMS names the drug for 382 of them, across 10 drugs with 11 or more claims each, at $4,489 in total drug cost. In 2023, CMS named 445 claims across 7 drugs.

Part D claims, 2024424
Drugs named by CMS10
Total drug cost$4,489
Part D patients123

Peter Sylvester's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Peter Sylvester's Part D claims, 2024

  • Opioids50%211 of 424 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 4452024: 38214%

Drugs named by CMS: 10 in 2024, 7 in 2023.

See all prescribing by Peter Sylvester

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Peter Thomas Sylvester Jr. ranks in the 89th percentile for spinal fusion in Medicare

Peter Sylvester accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Peter Sylvester as offering telehealth. CMS counts 189 procedures of spinal fusion by Peter Sylvester, more than 89% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Where Peter Sylvester ranks in Medicare procedure volume

Spinal fusion
89th percentile189 procedures
Laminectomy or laminotomy (partial removal of spine bones)
74th percentile45 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)

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Peter Thomas Sylvester Jr. received $11,719 in industry payments from 2016 to 2025

CMS Open Payments shows 155 general payments to Peter Sylvester from 27 drug and device companies from 2016 to 2025. Travel and lodging make up the largest share, 56% of the total. Alphatec Spine, Inc paid the most, $2,408.

General payments to Peter Sylvester by program year, 2016 to 2025

General payments to Peter Sylvester by kind, 2016 to 2025

$11.7Kin total
  • Travel and lodging$6,52156%
  • Food and beverage$4,88942%
  • Education$3093%

Companies that paid Peter Sylvester the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Peter Sylvester

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Peter Thomas Sylvester Jr.'s profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Peter Thomas Sylvester Jr.

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Peter Thomas Sylvester Jr.'s NPI number?

Peter Thomas Sylvester Jr.'s NPI number is 1538574538. It was assigned on June 27, 2014, and it is active in the NPI Registry.

What does Peter Thomas Sylvester Jr. specialize in?

Peter Thomas Sylvester Jr. is a neurosurgeon in Washington, Missouri. The primary specialty in the NPI Registry is Neurological Surgery Physician (taxonomy code 207T00000X).

Where does Peter Thomas Sylvester Jr. practice?

Peter Sylvester practices at 851 E 5th St, Washington, MO 63090. Peter Sylvester's primary practice is Missouri Podiatric Surgicare in Washington, Missouri. Dmand AI also links Peter Sylvester to 5 hospitals, 2 group practices and clinics and 1 medical group.

What is Peter Thomas Sylvester Jr.'s office phone number?

The practice phone on file for Peter Sylvester is (636) 239-0018.

What is Peter Thomas Sylvester Jr.'s medical license number?

Peter Sylvester holds Missouri license 2018037327.

Which hospitals is Peter Thomas Sylvester Jr. affiliated with?

Peter Sylvester is affiliated with Mercy Hospital Washington. Dmand AI links Peter Sylvester to 5 more hospitals.

What medical group is Peter Thomas Sylvester Jr. part of?

Peter Sylvester is linked to Mercy Clinic Surgical Specialists. Dmand AI links Peter Sylvester to 1 more medical group.

Does Peter Thomas Sylvester Jr. accept Medicare?

Yes. CMS data shows Peter Sylvester billed Medicare for 494 services in 2024, and Peter Sylvester accepts Medicare assignment.

Does Peter Thomas Sylvester Jr. offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Peter Sylvester as offering telehealth services.

How many Medicare patients does Peter Thomas Sylvester Jr. see?

CMS counts 229 Medicare patients who saw Peter Sylvester in 2024, with an average age of 76.

Show 4 more questionsShow fewer questions

What services does Peter Thomas Sylvester Jr. bill to Medicare?

In 2024, Peter Sylvester's most billed Medicare services were hospital inpatient care (99222), office visit, new patient (99204) and office visit, established patient (99213).

What drugs does Peter Thomas Sylvester Jr. prescribe most?

In 2024 Medicare Part D data, Peter Sylvester's most prescribed drugs by claims were Hydrocodone-Acetaminophen, Gabapentin and Oxycodone-Acetaminophen.

Has Peter Thomas Sylvester Jr. received payments from drug or device companies?

CMS Open Payments shows $11,719 in general payments to Peter Sylvester from 27 companies from 2016 to 2025. The largest total came from Alphatec Spine, Inc.

How long has Peter Thomas Sylvester Jr. been practicing?

Peter Sylvester graduated from medical school in 2021, 5 years ago.

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