DOMINIC JOSEPH PICETTI MD
NPI 1013413517
Internal Medicine in Santa Rosa, CA

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
30 MARK WEST SPRINGS RD, SANTA ROSA, CA 95403(707) 576-4000 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 21, 2023, Jun 30, 2021, Apr 10, 2018 (3 updates tracked since 2018).

About Dominic Joseph Picetti Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIC JOSEPH PICETTI MD (NPI 1013413517) is an individual internal medicine provider in Santa Rosa, California, licensed in California (A164045) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2018).

NPPES Registry Identity

NPI1013413517
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDOMINIC JOSEPH PICETTICredential: MD
Location Address30 MARK WEST SPRINGS RDSanta Rosa, CA 95403-1436
Mailing Address601 Van Ness Ave Ste E3619San Francisco, CA 94102-3200
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2018
Enumeration DateApril 3, 2018
Last NPPES UpdateJune 21, 20233 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
NPI 1013413517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A164045
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

30 MARK WEST SPRINGS RD, Santa Rosa, CA 95403

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dominic Joseph Picetti Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325441363
PECOS Enrollment IDI20210728001183
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
404 services236 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
399 services174 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
249 services157 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
176 services160 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
135 services125 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
124 services119 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Nurse Practitioner (Family)
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Pathology (Clinical Pathology/Laboratory Medicine)
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Nurse Practitioner (Acute Care)
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Hospitalist
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Anesthesiology
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Nurse Practitioner (Family)
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013413517, enumerated as an "individual" on April 03, 2018.

The provider is located at 30 MARK WEST SPRINGS RD SANTA ROSA, CA 95403 and the phone number is (707) 576-4000.

Internal Medicine with taxonomy code 207R00000X.