DR. BOBBY DEAN PETERSON M.D.
NPI 1841359171
Family Medicine in Escalon, CA

Q: What is Bobby Peterson's NPI number?

The NPI number for Bobby Peterson is 1841359171. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Q: What is Bobby 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 Bobby Peterson was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since December 06, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D1029834 · Microscopy

2390 JACKSON AVE, ESCALON, CA 95320(209) 838-6015(209) 838-0750 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Bobby Dean Peterson M.d. NPPES

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

DR. BOBBY DEAN PETERSON M.D. (NPI 1841359171) is an individual family medicine provider in Escalon, California, licensed in California (G66903) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 23, 2026, and is a graduate of University Of Southern California Keck School Of Medicine (1987).

NPPES Registry Identity

NPI1841359171

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BOBBY DEAN PETERSONCredential: M.D.

Location Address2390 JACKSON AVEEscalon, CA 95320-2078

Mailing Address2390 Jackson AveEscalon, CA 95320-2078 · (209) 838-6015 · Fax (209) 838-0750

Phone(209) 838-6015

Fax(209) 838-0750

Sole ProprietorYes

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1987

Enumeration DateDecember 6, 2006

Last NPPES UpdateJune 25, 2010

✔ NPI 1841359171 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 · G66903

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.

2390 JACKSON AVE, Escalon, CA 95320

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Other Identifiers 2

Medicare UPINF21959CA

Medicare PIN00G669030CA

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

Dr. Bobby Dean 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 ID1951380567

PECOS Enrollment IDI20040726000600

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1029834

Bob D Peterson, MD Inc · Escalon, CA

Active · expires Aug 23, 2026

CLIA Number05D1029834

Laboratory TypePhysician Office

Certificate Effective DateAugust 24, 2024

Certificate Expiration DateAugust 23, 2026

Laboratory DirectorBob D. Peterson MD

Laboratory Phone(209) 838-6015

Laboratory LocationBob D Peterson, MD Inc2390 Jackson Avenue, Escalon, CA 95320

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

367 services117 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

117 services69 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

93 services56 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95320 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.

Other Providers at the Same Location NPPES

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

B D PETERSON MD INC

Family Medicine

2390 JACKSON AVE
ESCALON, CA 95320

San Joaquin County (209) 838-6015

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 Bobby Peterson's NPI number?

The NPI number for Bobby Peterson is 1841359171. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Bobby Peterson located?

Bobby Peterson practices at 2390 Jackson Ave, Escalon, CA 95320. The listed phone number is (209) 838-6015.

What is Bobby Peterson's specialty?

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

Is Bobby Peterson enrolled in Medicare?

Yes. Bobby 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.

Does Bobby Peterson hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1029834) is associated with this NPI, valid through August 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bobby Peterson was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.