MICHAEL BLAIR PETERSON M.D.
NPI 1255419024
Surgery in San Leandro, CA

Q: What is Michael Peterson's NPI number?

The NPI number for Michael Peterson is 1255419024. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Michael Peterson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Peterson was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment

90.32/100

CMS Quality Rating

2500 MERCED ST, SAN LEANDRO, CA 94577(510) 454-1000 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2022, Jul 2, 2020 (2 updates tracked since 2020).

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About Michael Blair Peterson M.d. NPPES

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

MICHAEL BLAIR PETERSON M.D. (NPI 1255419024) is an individual surgery provider in San Leandro, California, licensed in California (G45972) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1980).

NPPES Registry Identity

NPI1255419024

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMICHAEL BLAIR PETERSONCredential: M.D.

Location Address2500 MERCED STSan Leandro, CA 94577-4201

Mailing Address1320 El Capitan Dr, Ste 120Danville, CA 94526-6260 · (925) 334-5800 · Fax (925) 689-3102

Phone(510) 454-1000

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1980

Enumeration DateNovember 1, 2006

Last NPPES UpdateJuly 14, 20222 updates tracked since enumeration

NPPES CertifiedJuly 14, 2022

✔ NPI 1255419024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · G45972

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedGeneral PracticeTaxonomy 208D00000X · License G45972 (CA)

2500 MERCED ST, San Leandro, CA 94577

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Other Identifiers 1

Medicaid00G459720CA

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

Michael Blair Peterson M.d. 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 ID8123200854

PECOS Enrollment IDI20110316000724

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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

147 services54 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.

133 services59 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

113 services74 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

73 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

69 services69 patients

Application of chemical to stop tissue regrowth in wound 17250

This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.

41 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94577 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.32/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.4

Promoting Interoperability

100

Improvement Activities

Cost

56.04

Referred Medical Equipment & Supplies CMS DME claims 3

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

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

3 suppliers17 claims234 services$9.40 avg. paid by Medicare

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651

DME-Other DME · category DE000N

2 suppliers11 claims11 services$751.56 avg. paid by Medicare

Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667

DME-Other DME · category DE000N

2 suppliers11 claims20 services$311.66 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 20

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

DR. SHIENA SHARMA MD

Anesthesiology