DAVID A PETERSON M.D.
NPI 1336199678
Family Medicine in Modesto, CA
About David A Peterson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID A PETERSON M.D. (NPI 1336199678) is an individual family medicine provider in Modesto, California, licensed in California (G61388) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
David A 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.
Medicare Billing Reassignment
Medicare enrollment records show David Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Modesto, CA 95355
- Reassigned Medicare billing, California enrollment
- 3,056 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 David Peterson's NPI number?
The NPI number for David Peterson is 1336199678. It was assigned to this individual provider in the NPPES registry on May 10, 2006.
Where is David Peterson located?
David Peterson practices at 3612 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 522-0146.
What is David Peterson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is David Peterson enrolled in Medicare?
Yes. David Peterson 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 organization bills Medicare for David Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Peterson reassigns Medicare benefits to Sutter Valley Medical Foundation (Modesto, CA). The 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 David Peterson'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 David Peterson was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# David A Peterson, M.D. · NPI 1336199678
Family Medicine physician in Modesto, California. Individual provider, active in the CMS NPPES registry since May 10, 2006.
## Identity
- **NPI:** 1336199678 (Entity type: Individual)
- **Enumerated:** May 10, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** G61388 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3612 DALE RD, Modesto, CA 95356-0500
- **Phone:** (209) 522-0146
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sutter Valley Medical Foundation (NPI 1669846986, Modesto, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 1986
## Record status
- **NPPES last updated:** June 11, 2019
- **Other identifiers:** Medicaid 00G613880 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1336199678) · Data from the CMS NPPES public registry.