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

DR. PETER NICHOLAS FEDORKA M.D.
NPI 1881891166
Surgery in Sacramento, CA

Active since June 29, 2007PECOS EnrolledAccepts Medicare Assignment
2221 STOCKTON BLVD, SUITE E, SACRAMENTO, CA 95817(916) 734-7290 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Peter Nicholas Fedorka M.d. NPPES

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

DR. PETER NICHOLAS FEDORKA M.D. (NPI 1881891166) is an individual surgery provider in Sacramento, California, licensed in California (A81068) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2001).

NPPES Registry Identity

NPI1881891166
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. PETER NICHOLAS FEDORKACredential: M.D.
Location Address2221 STOCKTON BLVD, SUITE ESacramento, CA 95817-1418
Mailing Address40 Park City Court, Apt. 4106Sacramento, CA 95831 · (916) 399-6001
Phone(916) 734-7290
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2001
Enumeration DateJune 29, 2007
Last NPPES UpdateDecember 3, 2021
NPPES CertifiedDecember 3, 2021
✔ NPI 1881891166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A81068
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2221 STOCKTON BLVD, Sacramento, CA 95817
Open in Google Maps ↗

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. Peter Nicholas Fedorka 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 ID8729171251
PECOS Enrollment IDI20070829000607
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

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.

REGENTS OF THE UNIV OF CA
Transplant Surgery
2221 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7785
REGENTS OF THE UNIV OF CA
Preventive Medicine (Occupational Medicine)
2221 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2715
ALLISON SHUKEN NURSE PRACTITIONER
Nurse Practitioner (Acute Care)
2221 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 703-3193
MS. ABIGAIL JO SCHEITLIN BSN, RN, MSN, FNP
Nurse Practitioner (Family)
2221 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3528
BERNADETTE HYSTAD
Physician Assistant (Surgical)
2221 STOCKTON BLVD, 2112
SACRAMENTO, CA 95817
Sacramento County (916) 734-7255
DR. GRANGER BRADFORD WONG MD,DMD,FACS
Plastic Surgery
2221 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2130
JOY VONGSPANICH PHARMD
Pharmacist
2221 STOCKTON BLVD, RM 1130
SACRAMENTO, CA 95817
Sacramento County (916) 734-3244
BARBARA JACHNIEWICZ NP
Nurse Practitioner (Family)
2221 STOCKTON BLVD, CYPRESS BUILDING , SUIT E
SACRAMENTO, CA 95817
Sacramento County (916) 734-2680

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 Peter Fedorka's NPI number?

The NPI number for Peter Fedorka is 1881891166. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Peter Fedorka located?

Peter Fedorka practices at 2221 Stockton Blvd Suite E, Sacramento, CA 95817. The listed phone number is (916) 734-7290.

What is Peter Fedorka's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Peter Fedorka enrolled in Medicare?

Yes. Peter Fedorka 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.

When was this NPI record last updated?

The NPPES record for Peter Fedorka was last updated on December 3, 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.