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DR. JEANNETTE PETERSON M.D.
NPI 1063455954
Internal Medicine in Fairfield, CA

Active since June 14, 2006PECOS Enrolled
1261 TRAVIS BLVD, SUITE 100, FAIRFIELD, CA 94533(707) 422-0543(707) 422-0549 Get Directions Write a Review

NPPES record last updated: January 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeannette Peterson M.d. NPPES

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

DR. JEANNETTE PETERSON M.D. (NPI 1063455954) is an individual internal medicine provider in Fairfield, California, licensed in California (A76492) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063455954
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JEANNETTE PETERSONCredential: M.D.
Location Address1261 TRAVIS BLVD, SUITE 100Fairfield, CA 94533-4897
Mailing Address1261 Travis Blvd, Suite 100Fairfield, CA 94533-4897 · (707) 422-0543 · Fax (707) 422-0549
Phone(707) 422-0543
Fax(707) 422-0549
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateJanuary 2, 2013
✔ NPI 1063455954 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 · A76492
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.
1261 TRAVIS BLVD, Fairfield, CA 94533
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Other Identifiers 2

Medicare UPINH96125
Medicare PIN00A764920

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeannette Peterson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94533 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
$145.83 typical visit price
range $65.02 – $191.95
Typical copayment $36.45 (range $16.25 – $47.98)
Most-billed visit code 99204
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers30 claims81 services$5.27 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers16 claims30 services$1.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$79.84 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.17 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers33 claims33 services$21.33 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier17 claims17 services$8.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

LYUBOV LUPYAN-TEYTELMAN P.A.
Physician Assistant
1261 TRAVIS BLVD, SUITE 170
FAIRFIELD, CA 94533
Solano County (707) 399-9200
JEANNETTE PETERSON MD INC
Clinic/Center (Primary Care)
1261 TRAVIS BLVD, SUITE 100
FAIRFIELD, CA 94533
Solano County (707) 422-0543
NALLS FOUNDATION
Residential Treatment Facility, Emotionally Disturbed Children
1261 TRAVIS BLVD, SUITE 240
FAIRFIELD, CA 94533
Solano County (707) 389-4804
SIERRA BONE
Speech-Language Pathologist
1261 TRAVIS BLVD
FAIRFIELD, CA 94533
Solano County (707) 344-1771
JAYESH J PATEL MD
Internal Medicine
1261 TRAVIS BLVD, STE. 320
FAIRFIELD, CA 94533
Solano County (707) 423-2506
MILIND DHOND MD INC
Internal Medicine (Cardiovascular Disease)
1261 TRAVIS BLVD, SUITE 200
FAIRFIELD, CA 94533
Solano County (707) 426-4696
MELISSA SARAH HAWKS PAC
Physician Assistant (Medical)
1261 TRAVIS BLVD, #150
FAIRFIELD, CA 94533
Solano County (707) 426-5407
MRS. MARGARET SMITH LA ROCHELLE RPT
Specialist
1261 TRAVIS BLVD, SUITE 190
FAIRFIELD, CA 94533
Solano County (707) 427-5029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeannette Peterson's NPI number?

The NPI number for Jeannette Peterson is 1063455954. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Jeannette Peterson located?

Jeannette Peterson practices at 1261 Travis Blvd Suite 100, Fairfield, CA 94533. The listed phone number is (707) 422-0543.

What is Jeannette Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jeannette Peterson enrolled in Medicare?

Yes. Jeannette Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeannette Peterson was last updated on January 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.