DR. CHARLES CAPDEVILLE PETERSON D.O.
NPI 1871036798
Family Medicine in Glendale, CA

Q: What is Charles Peterson's NPI number?

The NPI number for Charles Peterson is 1871036798. It was assigned to this individual provider in the NPPES registry on November 25, 2016.

Q: What is Charles 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 Charles Peterson was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 November 25, 2016PECOS EnrolledAccepts Medicare Assignment

544 N GLENDALE AVE STE B, GLENDALE, CA 91206(747) 212-3441 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 26, 2021, Nov 13, 2020, Oct 21, 2020 and 4 more (7 updates tracked since 2016).

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About Dr. Charles Capdeville Peterson D.o. NPPES

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

DR. CHARLES CAPDEVILLE PETERSON D.O. (NPI 1871036798) is an individual family medicine provider in Glendale, California, licensed in California (20A15085) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in La Canada Flintridge, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1871036798

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CHARLES CAPDEVILLE PETERSONCredential: D.O.

Location Address544 N GLENDALE AVE STE BGlendale, CA 91206-3311

Mailing Address2100 Powell St Ste 400Emeryville, CA 94608-1826 · (510) 350-2600

Phone(747) 212-3441

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 25, 2016

Last NPPES UpdateJanuary 26, 20217 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2021

✔ NPI 1871036798 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 · 20A15085

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.

544 N GLENDALE AVE STE B, Glendale, CA 91206

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Secondary Practice Location 1

Location 11975 Verdugo Blvd Ste ALA Canada Flintridge, CA 91011-3024 · Phone (747) 212-3441

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. Charles Capdeville Peterson D.o. 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 ID3870878093

PECOS Enrollment IDI20180717000671

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 Charles Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adventist Health Physicians Network

Same address

Endocrinology, Diabetes & Metabolism

544 N GLENDALE AVE STE B
Glendale, CA 91206

Reassigned Medicare billing, California enrollment
139 clinicians in this Medicare group

NPI 1437412905 (818) 265-2242

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.

111 services41 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

80 services33 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.

56 services43 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

34 services33 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

32 services32 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.

19 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91206 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

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 7

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

DR. JACK N YU MD

Family Medicine