DAVID A PETERSON M.D.
NPI 1336199678
Family Medicine in Modesto, CA

Q: 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.

Q: What is David Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for David Peterson was last updated on June 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment

3612 DALE RD, MODESTO, CA 95356(209) 522-0146 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1336199678

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDAVID A PETERSONCredential: M.D.

Location Address3612 DALE RDModesto, CA 95356-0500

Mailing Address10470 Old Placerville Rd Ste 100Sacramento, CA 95827-2539 · (800) 470-0071

Phone(209) 522-0146

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1986

Enumeration DateMay 10, 2006

Last NPPES UpdateJune 11, 2019

✔ NPI 1336199678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · G61388

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3612 DALE RD, Modesto, CA 95356

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Other Identifiers 1

Medicaid00G613880CA

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

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.

PECOS PAC ID8527118322

PECOS Enrollment IDI20090617000377

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 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.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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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.

GUSTAVO M GALEANO MD

Family Medicine