1. Home
  2. Directory
  3. California
  4. Thousand Oaks
  5. Dermatology
  6. NPI Profile

DR. PETERSON PIERRE MD
NPI 1073663886
Dermatology in Thousand Oaks, CA

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
77 E. ROLLING OAKS DRIVE, SUITE 207, THOUSAND OAKS, CA 91361(805) 496-9190(805) 496-9185 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Peterson Pierre Md NPPES

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

DR. PETERSON PIERRE MD (NPI 1073663886) is an individual dermatology provider in Thousand Oaks, California, licensed in California (A66363) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1997).

NPPES Registry Identity

NPI1073663886
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. PETERSON PIERRECredential: MD
Location Address77 E. ROLLING OAKS DRIVE, SUITE 207Thousand Oaks, CA 91361
Mailing Address77 E. Rolling Oaks Drive, Suite 207Thousand Oaks, CA 91361 · (805) 496-9190 · Fax (805) 496-9185
Phone(805) 496-9190
Fax(805) 496-9185
Sole ProprietorYes
Medical School CMSStanford University School Of MedicineGraduated 1997
Enumeration DateJanuary 12, 2007
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1073663886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A66363
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
77 E. ROLLING OAKS DRIVE, SUITE 207, Thousand Oaks, CA 91361
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Peterson Pierre 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 ID4284605767
PECOS Enrollment IDI20040806000369
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Peterson Pierre reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pierre Medical Corporation
Same address
Dermatology
77 ROLLING OAKS DR STE 207
Thousand Oaks, CA 91361
  • Reassigned Medicare billing, California enrollment
NPI 1124216684 (805) 496-9190
Artius Dermatology Associates, P.C.
155 mi
Dermatology
325 MALL DR STE 111
Hanford, CA 93230
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Artius Dermatology Associates PC
  • 10 clinicians in this Medicare group
NPI 1245782291 (559) 583-7546
Golden State Dermatology Associates Inc
313 mi
Dermatology
355 LENNON LN STE 255
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 103 clinicians in this Medicare group
NPI 1700860871 (925) 932-7704

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
237 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services70 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
87 services87 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
81 services54 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
76 services31 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
49 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91361 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Peterson Pierre's NPI number?

The NPI number for Peterson Pierre is 1073663886. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Peterson Pierre located?

Peterson Pierre practices at 77 E. Rolling Oaks Drive, Suite 207, Thousand Oaks, CA 91361. The listed phone number is (805) 496-9190.

What is Peterson Pierre's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Peterson Pierre enrolled in Medicare?

Yes. Peterson Pierre is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Peterson Pierre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peterson Pierre reassigns Medicare benefits to 3 organizations: Pierre Medical Corporation (Thousand Oaks, CA), Artius Dermatology Associates, P.C. (Hanford, CA) and Golden State Dermatology Associates Inc (Walnut Creek, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peterson Pierre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peterson Pierre was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.