DR. PETER NGUYEN M.D., PH.D.
NPI 1306104633
Psychiatry & Neurology - Neurology in Santa Barbara, CA

Active since April 24, 2012PECOS Enrolled
400 W PUEBLO ST, SANTA BARBARA, CA 93105(805) 682-2775 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2022, Mar 3, 2022, Dec 30, 2020 and 3 more (6 updates tracked since 2018).

About Dr. Peter Nguyen M.d., Ph.d. NPPES

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

DR. PETER NGUYEN M.D., PH.D. (NPI 1306104633) is an individual neurology provider in Santa Barbara, California, licensed in California (A127359) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1306104633
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. PETER NGUYENCredential: M.D., PH.D.
Location Address400 W PUEBLO STSanta Barbara, CA 93105
Mailing Address400 W Pueblo StSanta Barbara, CA 93105-4353
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2012
Enumeration DateApril 24, 2012
Last NPPES UpdateApril 7, 20226 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1306104633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in CA · A127359✔ Licensed in WI · 70179✔ Licensed in MI · 4301119189✔ Licensed in CT · 69833✔ Licensed in IN · 01087101A✔ Licensed in NC · 2022-00120✔ Licensed in KY · 53493✔ Licensed in IL · 036147583✔ Licensed in NJ · 25MA10454400✔ Licensed in VA · 0101266051
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
400 W PUEBLO ST, Santa Barbara, CA 93105

Secondary Practice Locations 3

Location 1301 W Homer StMichigan City, IN 46360-4358 · Phone (219) 879-8511 · Fax (219) 877-1409
Location 21710 Lafayette RdCrawfordsville, IN 47933-1033 · Phone (765) 362-2800 · Fax (765) 364-3189
Location 31701 S Creasy LnLafayette, IN 47905-4972 · Phone (765) 502-4400 · Fax (765) 502-4401

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter Nguyen M.d., Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153614714
PECOS Enrollment IDI20160720001475, I20200724000685, I20230823000978
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

21

Medicare enrollment records show Peter Nguyen reassigns Medicare billing to 21 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
400 W PUEBLO ST
Santa Barbara, CA 93105
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
Neurology
400 W PUEBLO ST
Santa Barbara, CA 93105
  • Reassigned Medicare billing, California enrollment
  • 117 clinicians in this Medicare group
Plastic Surgery
2900 FRANK SCOTT PKWY W, SUITE 970
Belleville, IL 62223
  • Reassigned Medicare billing, Illinois enrollment
  • 38 clinicians in this Medicare group
Rural Health
211 E HANOVER ST
New Baden, IL 62265
  • Reassigned Medicare billing, Illinois enrollment
  • 54 clinicians in this Medicare group
Critical Access
12866 TROXLER AVE
Highland, IL 62249
  • Reassigned Medicare billing, Illinois enrollment
  • 48 clinicians in this Medicare group
Critical Access
1215 FRANCISCAN DR
Litchfield, IL 62056
  • Reassigned Medicare billing, Illinois enrollment
  • 60 clinicians in this Medicare group
General Acute Care Hospital
800 EAST CARPENTER
Springfield, IL 62769
  • Reassigned Medicare billing, California and Illinois enrollments
  • 3 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
Obstetrics & Gynecology
150 HEALTHCARE DRIVE
Greenville, IL 62246
  • Reassigned Medicare billing, Illinois enrollment
  • 42 clinicians in this Medicare group
General Acute Care Hospital
1045 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, California enrollment
  • 19 clinicians in this Medicare group

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
516 services200 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
165 services91 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.
57 services50 patients
Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720
This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.
51 services26 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
50 services49 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.
39 services38 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93105 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
$139.99 typical visit price
range $62.01 – $184.40
Typical copayment $34.99 (range $15.50 – $46.10)
Most-billed visit code 99204
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
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.

Pediatrics (Pediatric Infectious Diseases)
400 W PUEBLO ST
SANTA BARBARA, CA 93105
Student in an Organized Health Care Education/Training Program
400 W PUEBLO ST
SANTA BARBARA, CA 93105
Radiology (Diagnostic Radiology)
400 W PUEBLO ST
SANTA BARBARA, CA 93105
Internal Medicine
400 W PUEBLO ST
SANTA BARBARA, CA 93105
Emergency Medicine
400 W PUEBLO ST
SANTA BARBARA, CA 93105
Student in an Organized Health Care Education/Training Program
400 W PUEBLO ST
SANTA BARBARA, CA 93105
Student in an Organized Health Care Education/Training Program
400 W PUEBLO ST
SANTA BARBARA, CA 93105
Pathology (Anatomic Pathology & Clinical Pathology)
400 W PUEBLO ST
SANTA BARBARA, CA 93105

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 Peter Nguyen's NPI number?

The NPI number for Peter Nguyen is 1306104633. It was assigned to this individual provider in the NPPES registry on April 24, 2012.

Where is Peter Nguyen located?

Peter Nguyen practices at 400 W Pueblo St, Santa Barbara, CA 93105. The listed phone number is (805) 682-2775.

What is Peter Nguyen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Peter Nguyen enrolled in Medicare?

Yes. Peter Nguyen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Peter Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Nguyen reassigns Medicare benefits to 21 organizations: Central Coast Critical Care Associates (Santa Barbara, CA), Cep America - Neurology PC (Santa Barbara, CA), St Elizabeths Hospital Of The Hospital Sisters Of The Third Order (Belleville, IL), St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde (New Baden, IL), St Josephs Hospital Of The Hospital Sisters Of The Third Order Of St F (Highland, IL) and 16 more organizations, listed in the Medicare section above. 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 Peter Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Nguyen accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Network Health, Priority Health and Sanford Health Plan list Peter Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Peter Nguyen affiliated with any hospitals?

According to CMS data, Peter Nguyen is affiliated with Fhn Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Peter Nguyen was last updated on April 7, 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.