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

DR. BRETT M PETERSON MD
NPI 1770564718
Orthopaedic Surgery - Sports Medicine in Orange, CA

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
200 N LEWIS ST, ORANGE, CA 92868(888) 988-2800 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Brett M Peterson Md NPPES

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

DR. BRETT M PETERSON MD (NPI 1770564718) is an individual sports medicine provider in Orange, California, licensed in California (A74745) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1999).

NPPES Registry Identity

NPI1770564718
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. BRETT M PETERSONCredential: MD
Location Address200 N LEWIS STOrange, CA 92868-1538
Mailing Address200 N Lewis StOrange, CA 92868-1538 · (888) 988-2800
Phone(888) 988-2800
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1999
Enumeration DateNovember 8, 2005
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1770564718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in CA · A74745
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License A74745 (CA)
200 N LEWIS ST, Orange, CA 92868
Open in Google Maps ↗

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

Dr. Brett M Peterson Md 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 ID4385672914
PECOS Enrollment IDI20050803000737
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 Brett Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
6.1 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE STOLROW
Registered Nurse (Diabetes Educator)
200 N LEWIS ST
ORANGE, CA 92868
Orange County (714) 748-2665
NADY NIEVES
Health Educator
200 N LEWIS ST
ORANGE, CA 92868
Orange County (714) 748-2718
MS. DIANN F PEDREGON RD
Dietitian, Registered
200 N LEWIS ST
ORANGE, CA 92868
Orange County (714) 748-2731
BERENISE LEMUS BALGUMA LCSW
Social Worker (Clinical)
200 N LEWIS ST
ORANGE, CA 92868
Orange County (714) 748-2753
GABRIELA DURAN
Behavior Technician
200 N LEWIS ST
ORANGE, CA 92868
Orange County (714) 748-2710
GARY L. ZOHMAN MD
Orthopaedic Surgery
200 N LEWIS ST
ORANGE, CA 92868
Orange County (949) 932-5579
VIVIANA YON MS, RD
Dietitian, Registered
200 N LEWIS ST
ORANGE, CA 92868
Orange County (833) 574-2273
MONICA NENA R.N.
Registered Nurse
200 N LEWIS ST
ORANGE, CA 92868
Orange County (714) 748-2739

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 Brett Peterson's NPI number?

The NPI number for Brett Peterson is 1770564718. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Brett Peterson located?

Brett Peterson practices at 200 N Lewis St, Orange, CA 92868. The listed phone number is (888) 988-2800.

What is Brett Peterson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Brett Peterson enrolled in Medicare?

Yes. Brett 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 Brett Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brett Peterson reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, 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 Brett 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 Brett Peterson was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.