PETER JOHN II GEORGIO (M.D.) – Family Medicine Physician, NPI 1053574947

PETER JOHN II GEORGIO (M.D.) is a healthcare provider. based in Pomona, California. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. A104803 (CA). The NPI Number for PETER JOHN II GEORGIO (M.D.) is 1053574947

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
PETER JOHN II GEORGIO (M.D.)
NPI
1053574947
Phone
(310) 957-5524
Address
1444 E Holt Ave
Enumeration Date
9 July 2008
Last Update Date
9 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
0244360063
Group Practice PAC ID
7517014251
Professional Enrollment ID
I20100604000669
Address ID
CA902666876Ma400XXBLVD401

Contacts

Secure Messaging
pgeorgio196684@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

13,237 FAMILY PRACTICE in CA

Provider Addresses for PETER JOHN II GEORGIO (M.D.)

  • 1444 E Holt Ave

    Pomona, CA 917675865

    Phone: (310) 957-5524

    Type: Location

  • 155, North Fresno Street, Fresno, Fresno County, California, 93701, United States

    FRESNO, CA 937012302

    Phone: (559) 499-6450

    Fax: (559) 499-6451

    Type: Mailing

  • 2263, West Birch Avenue, Fresno, Fresno County, California, 93711, United States

    FRESNO, CA 937110442

    Phone: (559) 431-8515

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: TRICE MEDICAL, INC. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
TRICE MEDICAL, INC.$23
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-04

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100604000669IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes202128$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg10642$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance6738$0
99214Established patient office or other outpatient visit, 30-39 minutes5446$0
99203New patient office or other outpatient visit, 30-44 minutes4444$0
View full utilization report →

Insurance plans in this area (ZIP 91767)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517014251View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationCA
Physical Therapist In Private PracticeCA
C H I R O P R A C T I CCA
Orthopedic SurgeryCA
Physical Therapist In Private PracticeCA
P O D I A T R YCA
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
C H I R O P R A C T I CCA
Sports Medicine, Orthopedic SurgeryMN

Reviews

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Frequently asked questions

Can I cross-check PETER JOHN II GEORGIO (M.D.) using NPI 1053574947?
NPI 1053574947 belongs to PETER JOHN II GEORGIO (M.D.); compare other details if you need extra assurance.
Is there an active status for PETER JOHN II GEORGIO (M.D.)?
For scheduling context, PETER JOHN II GEORGIO (M.D.) is shown as active in the registry.
What kind of doctor is PETER JOHN II GEORGIO (M.D.)?
PETER JOHN II GEORGIO (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is PETER JOHN II GEORGIO (M.D.) located near Pomona?
PETER JOHN II GEORGIO (M.D.) currently maps to Pomona, California in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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