1. Home
  2. Directory
  3. California
  4. Davis
  5. Orthopaedic Surgery
  6. NPI Profile

MICHAEL S PETERSEN M.D.
NPI 1467428656
Orthopaedic Surgery - Hand Surgery in Davis, CA

Active since February 27, 2006PECOS Enrolled
2020 SUTTER PL, SUITE 104, DAVIS, CA 95616(530) 750-5900(530) 750-5901 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael S Petersen M.d. NPPES

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

MICHAEL S PETERSEN M.D. (NPI 1467428656) is an individual hand surgery provider in Davis, California, licensed in California (A49302) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467428656
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameMICHAEL S PETERSENCredential: M.D.
Location Address2020 SUTTER PL, SUITE 104Davis, CA 95616-6213
Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(530) 750-5900
Fax(530) 750-5901
Sole ProprietorYes
Enumeration DateFebruary 27, 2006
Last NPPES UpdateJuly 8, 2015
✔ NPI 1467428656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in CA · A49302
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
2020 SUTTER PL, Davis, CA 95616
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINC67926CA
Medicare NSC0398360001
Other200018048CA · Railroad Medicare Individual Ptan
Medicare PIN00A493020

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael S Petersen M.d. 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 95616 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

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.

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
1 supplier38 claims38 services$92.93 avg. paid by Medicare
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$163.84 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier20 claims21 services$60.61 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.

ALICE M VAN ALSTINE MD
Family Medicine
2020 SUTTER PL, #101
DAVIS, CA 95616
Yolo County (530) 750-5900
SCOTT MCINTOSH PORTER M.D.
Orthopaedic Surgery
2020 SUTTER PL, SUITE 104
DAVIS, CA 95616
Yolo County (530) 750-5900
DR. BETHELEN J JOHNSON M.D.
Obstetrics & Gynecology
2020 SUTTER PL, #203
DAVIS, CA 95616
Yolo County (530) 750-5880
ARFAN DIN DO
Family Medicine
2020 SUTTER PL, #101
DAVIS, CA 95616
Yolo County (530) 750-5900
ANNE MARIE BISSON PA
Physician Assistant
2020 SUTTER PL, SUITE 100
DAVIS, CA 95616
Yolo County (530) 750-5830
JAMES W. EUSEBIO M.D.
Pediatrics
2020 SUTTER PL, SUITE 201
DAVIS, CA 95616
Yolo County (530) 750-5959
JESSICA LYNN WITTY NAGEL CNM
Advanced Practice Midwife
2020 SUTTER PL, SUITE 203
DAVIS, CA 95616
Yolo County (530) 750-5880
DR. JUSTINE NATASHA LAUBLY M.D.
Family Medicine
2020 SUTTER PL, STE. 101
DAVIS, CA 95616
Yolo County (530) 750-5900

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 Michael Petersen's NPI number?

The NPI number for Michael Petersen is 1467428656. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Michael Petersen located?

Michael Petersen practices at 2020 Sutter Pl Suite 104, Davis, CA 95616. The listed phone number is (530) 750-5900.

What is Michael Petersen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Michael Petersen enrolled in Medicare?

Yes. Michael Petersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Petersen was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.