MEGAN PELTER M.D
NPI 1598292302
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Loma Linda, CA

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON ST, LOMA LINDA, CA 92350(909) 558-4756 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2025, Feb 24, 2025, Sep 8, 2021 and 1 more (4 updates tracked since 2017).

About Megan Pelter M.d NPPES

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

MEGAN PELTER M.D (NPI 1598292302) is an individual advanced heart failure and transplant cardiology provider in Loma Linda, California, licensed in California (A161455) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1598292302
Entity TypeIndividualFemale
Primary Taxonomy207RA0001X
Provider Legal NameMEGAN PELTERCredential: M.D
Location Address11234 ANDERSON STLoma Linda, CA 92350-1716
Mailing Address2068 Orange Tree Ln Ste 215Redlands, CA 92374-4555 · (909) 558-4756
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 11, 2017
Last NPPES UpdateMay 5, 20254 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1598292302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License✔ Licensed in CA · A161455
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal MedicineTaxonomy 207R00000X · License A161455 (CA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License A16145 (CA)
Also ListedHospitalistTaxonomy 208M00000X · License A161455 (CA)
11234 ANDERSON ST, Loma Linda, CA 92350

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

Megan Pelter 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 ID8628474798
PECOS Enrollment IDI20240822002311
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

2

Medicare enrollment records show Megan Pelter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
11234 ANDERSON ST
Loma Linda, CA 92350
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1454 E 2ND ST
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 455 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 4

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.
84 services65 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.
69 services32 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.
25 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92350 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Emergency Medicine
11234 ANDERSON ST
LOMA LINDA, CA 92350
Orthopaedic Surgery
11234 ANDERSON ST
LOMA LINDA, CA 92350
Clinical Nurse Specialist (Neonatal)
11234 ANDERSON ST
LOMA LINDA, CA 92350
Physician Assistant
11234 ANDERSON ST
LOMA LINDA, CA 92350
Ophthalmology (Retina Specialist)
11234 ANDERSON ST
LOMA LINDA, CA 92350
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92350
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92350
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92350

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 Megan Pelter's NPI number?

The NPI number for Megan Pelter is 1598292302. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Megan Pelter located?

Megan Pelter practices at 11234 Anderson St, Loma Linda, CA 92350. The listed phone number is (909) 558-4756.

What is Megan Pelter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Megan Pelter enrolled in Medicare?

Yes. Megan Pelter 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 organizations bill Medicare for Megan Pelter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Pelter reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Sac Health System (San Bernardino, CA). 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 Megan Pelter'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 Megan Pelter was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.