MR. PETER DAVID TANNOUS FNP-C
NPI 1205690773
Nurse Practitioner - Family in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since February 06, 2024PECOS Enrolled

4829 CLAIREMONT DR, SAN DIEGO, CA 92117(866) 389-2727 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Peter David Tannous Fnp-c NPPES

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

MR. PETER DAVID TANNOUS FNP-C (NPI 1205690773) is an individual family provider in San Diego, California, licensed in California (95028977) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205690773

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. PETER DAVID TANNOUSCredential: FNP-C

Location Address4829 CLAIREMONT DRSan Diego, CA 92117-2706

Mailing Address4829 Clairemont DrSan Diego, CA 92117-2706 · (866) 389-2727

Phone(866) 389-2727

Sole ProprietorNo

Enumeration DateFebruary 6, 2024

Last NPPES UpdateFebruary 17, 2026

NPPES CertifiedFebruary 17, 2026

✔ NPI 1205690773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95028977

4829 CLAIREMONT DR, San Diego, CA 92117

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Peter David Tannous Fnp-c 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 92117 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.