DR. DAVID JAMES PETERSEN DPM
NPI 1942250808
Podiatrist - Foot & Ankle Surgery in Laguna Woods, CA

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
24191 PASEO DE VALENCIA, SUITE E, LAGUNA WOODS, CA 92637(949) 855-1177(949) 855-6939 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David James Petersen Dpm NPPES

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

DR. DAVID JAMES PETERSEN DPM (NPI 1942250808) is an individual foot & ankle surgery provider in Laguna Woods, California, licensed in California (E4310) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1998).

NPPES Registry Identity

NPI1942250808
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. DAVID JAMES PETERSENCredential: DPM
Location Address24191 PASEO DE VALENCIA, SUITE ELaguna Woods, CA 92637-3167
Mailing Address24191 Paseo De Valencia, Suite ELaguna Woods, CA 92637-3167 · (949) 855-1177 · Fax (949) 855-6939
Fax(949) 855-6939
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1998
Enumeration DateMay 11, 2006
Last NPPES UpdateApril 11, 2008
NPI 1942250808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · E4310
24191 PASEO DE VALENCIA, Laguna Woods, CA 92637

Other Identifiers 4

Medicare UPINU86681CA
Medicare PINW19818CA
Medicare ID-Type Unspecified000E43100CA
OtherDE7237CA · Railroad Medi-care Pin

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. David James Petersen Dpm 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 ID4688686363
PECOS Enrollment IDI20060621000091
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.

Areas of Expertise CMS Part B claims 24

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
926 services364 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
905 services48 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
785 services307 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.
284 services229 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
229 services137 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
190 services190 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier12 claims12 services$245.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Podiatrist (Foot & Ankle Surgery)
24191 PASEO DE VALENCIA, SUITE E
LAGUNA WOODS, CA 92637

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 David Petersen's NPI number?

The NPI number for David Petersen is 1942250808. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is David Petersen located?

David Petersen practices at 24191 Paseo De Valencia Suite E, Laguna Woods, CA 92637. The listed phone number is (949) 855-1177.

What is David Petersen's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is David Petersen enrolled in Medicare?

Yes. David Petersen 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 David Petersen was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.