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BETTY HOM MD
NPI 1972068625
Family Medicine in Davis, CA

Active since February 07, 2019PECOS EnrolledAccepts Medicare Assignment
2030 SUTTER PL STE 2000, DAVIS, CA 95616(530) 750-5800(530) 750-5804 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2025, Sep 18, 2025, Feb 7, 2019 (3 updates tracked since 2019).

About Betty Hom Md NPPES

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

BETTY HOM MD (NPI 1972068625) is an individual family medicine provider in Davis, California, licensed in California (A184494) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2021).

NPPES Registry Identity

NPI1972068625
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBETTY HOMCredential: MD
Location Address2030 SUTTER PL STE 2000Davis, CA 95616-6216
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Phone(530) 750-5800
Fax(530) 750-5804
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2021
Enumeration DateFebruary 7, 2019
Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1972068625 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 · A184494
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.
2030 SUTTER PL STE 2000, Davis, CA 95616
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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

Betty Hom Md 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 ID4486034931
PECOS Enrollment IDI20231006002928
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 Reassignments

3

Medicare enrollment records show Betty Hom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sutter Valley Medical Foundation
14 mi
Multi-Specialty
2700 GATEWAY OAKS DR
Sacramento, CA 95833
  • Reassigned Medicare billing, California enrollment
  • 3,056 clinicians in this Medicare group
NPI 1952327256 (800) 470-0071
Permanente Medical Group Inc
40 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000
Southern California Permanente Medical Group
333 mi
Health Maintenance Organization
2103 E GONZALES RD
Oxnard, CA 93036
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1275756652 (805) 650-4700

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 95616 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
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 12

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

AVLEEN KAUR GILL DO, MPH, MS
Family Medicine
2030 SUTTER PL STE 2000
DAVIS, CA 95616
Yolo County (916) 731-7866
DR. DANIEL BRUCE MABARDY D.O.
Family Medicine
2030 SUTTER PL STE 2000
DAVIS, CA 95616
Yolo County (530) 750-5800
BRANDON MAXWELL
Family Medicine
2030 SUTTER PL STE 2000
DAVIS, CA 95616
Yolo County (916) 451-4400
AMY NHAM DO
Family Medicine
2030 SUTTER PL STE 2000
DAVIS, CA 95616
Yolo County (858) 220-4096
CHRISTIANA BARBARA KONTAXIS
Student in an Organized Health Care Education/Training Program
2030 SUTTER PL STE 2000
DAVIS, CA 95616
Yolo County (916) 731-7866
DR. PAIGE ALEXA HAMILTON-CONATY MD
Specialist
2030 SUTTER PL STE 2000
DAVIS, CA 95616
Yolo County (916) 731-7866
ALEXANDRA MULLEN
Family Medicine
2030 SUTTER PL STE 2000
DAVIS, CA 95616
Yolo County (530) 852-1061
JOHNSON THAI MD
Student in an Organized Health Care Education/Training Program
2030 SUTTER PL STE 2000
DAVIS, CA 95616
Yolo County (626) 716-8930

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 Betty Hom's NPI number?

The NPI number for Betty Hom is 1972068625. It was assigned to this individual provider in the NPPES registry on February 7, 2019.

Where is Betty Hom located?

Betty Hom practices at 2030 Sutter Pl Ste 2000, Davis, CA 95616. The listed phone number is (530) 750-5800.

What is Betty Hom's specialty?

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

Is Betty Hom enrolled in Medicare?

Yes. Betty Hom 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 organizations bill Medicare for Betty Hom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Betty Hom reassigns Medicare benefits to 3 organizations: Sutter Valley Medical Foundation (Sacramento, CA), Permanente Medical Group Inc (Vallejo, CA) and Southern California Permanente Medical Group (Oxnard, CA). Each 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 Betty Hom'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 Betty Hom was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.