DR. PETER NICHOLAS FEDORKA M.D.
NPI 1881891166
Surgery in Sacramento, CA
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
Specialties & Licenses
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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Peter Fedorka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bakersfield, CA 93312
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
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.
Which organization bills Medicare for Peter Fedorka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Fedorka reassigns Medicare benefits to Southern California Permanente Medical Group (Bakersfield, 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 Peter Fedorka'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 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.
# Dr. Peter Nicholas Fedorka, M.D. · NPI 1881891166
Surgery physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since June 29, 2007.
## Identity
- **NPI:** 1881891166 (Entity type: Individual)
- **Enumerated:** June 29, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** A81068 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2221 STOCKTON BLVD, SUITE E, Sacramento, CA 95817-1418
- **Phone:** (916) 734-7290
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1316572753, Bakersfield, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** December 3, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1881891166) · Data from the CMS NPPES public registry.