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PETAR VUKASIN M.D.
NPI 1659385516
Colon & Rectal Surgery in Glendale, CA

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
222 W EULALIA ST, SUITE 100A, GLENDALE, CA 91204(818) 244-8161(818) 244-8161 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Petar Vukasin M.d. NPPES

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

PETAR VUKASIN M.D. (NPI 1659385516) is an individual colon & rectal surgery provider in Glendale, California, licensed in California (G74237) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Arcadia, and is a graduate of University Of Southern California Keck School Of Medicine (1990).

NPPES Registry Identity

NPI1659385516
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NamePETAR VUKASINCredential: M.D.
Location Address222 W EULALIA ST, SUITE 100AGlendale, CA 91204-2849
Mailing Address222 W Eulalia St, Suite 100aGlendale, CA 91204-2849 · (818) 244-8161 · Fax (818) 244-8161
Phone(818) 244-8161
Fax(818) 244-8161
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1990
Enumeration DateJuly 28, 2006
Last NPPES UpdateNovember 18, 2022
NPPES CertifiedNovember 18, 2022
✔ NPI 1659385516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in CA · G74237
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
222 W EULALIA ST, Glendale, CA 91204
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Secondary Practice Location 1

Location 1301 W Huntington Dr Ste 618Arcadia, CA 91007-1519 · Phone (626) 898-8234 · Fax (626) 898-8235

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

Petar Vukasin 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 ID4981753662
PECOS Enrollment IDI20090529000230
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 Reassignment

Medicare enrollment records show Petar Vukasin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Petar Vukasin M D Inc
0.7 mi
Colon & Rectal Surgery
222 W EULALIA ST STE 100A
Glendale, CA 91204
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1528359304 (818) 244-8161

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 6

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.
164 services109 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
79 services68 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.
51 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services31 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91204 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
3 suppliers12 claims168 services$1.89 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
3 suppliers14 claims54 services$5.53 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$8.46 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.17 avg. paid by Medicare
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. A5131
DME-Orthotic Devices · category DF000N
2 suppliers13 claims14 services$15.30 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.

GLENDALE PREMIER MEDICAL GROUP
Family Medicine
222 W EULALIA ST, #201
GLENDALE, CA 91204
Los Angeles County (818) 240-0601
GLENDALE ORTHOPAEDICS INC.
Orthopaedic Surgery
222 W EULALIA ST, SUITE 300
GLENDALE, CA 91204
Los Angeles County (818) 547-0608
DENA RAFIQ NASIR MD
Colon & Rectal Surgery
222 W EULALIA ST
GLENDALE, CA 91204
Los Angeles County (818) 730-3726
MS. MICHELLE DEWINDT P.A.-C
Physician Assistant (Medical)
222 W EULALIA ST, SUITE 200
GLENDALE, CA 91204
Los Angeles County (818) 956-8582
DR. LYDIA S BANGTSON PH.D.
Psychologist (Clinical)
222 W EULALIA ST, SUITE 301
GLENDALE, CA 91204
Los Angeles County (818) 240-0108
ROBERT BEART M.D.
Colon & Rectal Surgery
222 W EULALIA ST, SUITE 100A
GLENDALE, CA 91204
Los Angeles County (818) 244-8161
MS. MERCEDES F. MARUSCAK N.P.
Internal Medicine (Hematology & Oncology)
222 W EULALIA ST, 100-B
GLENDALE, CA 91204
Los Angeles County (818) 637-7611
MR. RAY BURTON BLOSS III PA-C
Physician Assistant
222 W EULALIA ST, SUITE #101
GLENDALE, CA 91204
Los Angeles County (818) 246-4800

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 Petar Vukasin's NPI number?

The NPI number for Petar Vukasin is 1659385516. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Petar Vukasin located?

Petar Vukasin practices at 222 W Eulalia St Suite 100A, Glendale, CA 91204. The listed phone number is (818) 244-8161.

What is Petar Vukasin's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Petar Vukasin enrolled in Medicare?

Yes. Petar Vukasin 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 Petar Vukasin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Petar Vukasin reassigns Medicare benefits to Petar Vukasin M D Inc (Glendale, 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 Petar Vukasin'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 Petar Vukasin was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.