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DR. VICKI C PETROPOULOS DMD, MS
NPI 1982883575
Dentist - Prosthodontics in San Diego, CA

Active since October 31, 2007PECOS Enrolled
1525 4TH AVE, SAN DIEGO, CA 92101(619) 795-1301 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Vicki C Petropoulos Dmd, Ms NPPES

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

DR. VICKI C PETROPOULOS DMD, MS (NPI 1982883575) is an individual prosthodontics provider in San Diego, California, licensed in California (62346) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Anza.

NPPES Registry Identity

NPI1982883575
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameDR. VICKI C PETROPOULOSCredential: DMD, MS
Location Address1525 4TH AVESan Diego, CA 92101-3107
Mailing AddressPo Box 7308Rancho Santa Fe, CA 92067-7308 · (267) 342-0372
Phone(619) 795-1301
Sole ProprietorYes
Enumeration DateOctober 31, 2007
Last NPPES UpdateNovember 22, 2023
NPPES CertifiedNovember 22, 2023
✔ NPI 1982883575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses✔ Licensed in CA · 62346✔ Licensed in PA · DS0276299-L
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
1525 4TH AVE, San Diego, CA 92101
Open in Google Maps ↗

Secondary Practice Location 1

Location 153000 Cahuilla RdAnza, CA 92539-9142 · Phone (951) 763-4835

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vicki C Petropoulos Dmd, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Centro De Salud De La Comunidad De San Ysidro Inc
Same address
Federally Qualified Health Center (FQHC)
1525 FOURTH AVE, 2ND FLOOR
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group
NPI 1457033813 (619) 662-4100

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 92101 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 3

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

DR. DAVID WILLNER DDS
Dentist
1525 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 795-1301
GARY AND MARY WEST SENIOR DENTAL CENTER, INC.
Clinic/Center (Dental)
1525 4TH AVE
SAN DIEGO, CA 92101
San Diego County (760) 602-5862
SERVING SENIORS
Case Management
1525 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 235-6538

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 Vicki Petropoulos's NPI number?

The NPI number for Vicki Petropoulos is 1982883575. It was assigned to this individual provider in the NPPES registry on October 31, 2007.

Where is Vicki Petropoulos located?

Vicki Petropoulos practices at 1525 4th Ave, San Diego, CA 92101. The listed phone number is (619) 795-1301.

What is Vicki Petropoulos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Vicki Petropoulos enrolled in Medicare?

Yes. Vicki Petropoulos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vicki Petropoulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vicki Petropoulos reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro Inc (San Diego, 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 Vicki Petropoulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vicki Petropoulos accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Vicki Petropoulos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vicki Petropoulos was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.