PETER ALLEN NOVOTA (M.D.) – Family Medicine Physician, NPI 1124132394
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for PETER ALLEN NOVOTA (M.D.)
150 VALPREDA RD
SAN MARCOS, CA 920692973
Phone: (760) 736-6767
Type: Mailing
2357, Sequoia Drive, Aurora, Kane County, Illinois, 60506, United States
AURORA, IL 605066222
Phone: (630) 859-6800
Type: Mailing
3110, Kerner Boulevard, San Rafael, Marin County, California, 94901, United States
SAN RAFAEL, CA 949015411
Phone: (415) 448-1500
Fax: (415) 526-8570
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $106.
Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Novo Nordisk Inc ($48).
Total Amount
$106
General + Research + Ownership
Payments
5
Total payment records
General Amount
$106
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $48 |
| ABBVIE INC. | $25 |
| Lilly USA, LLC | $17 |
| Amgen Inc. | $15 |
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: 2024-09-03
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240903000310 | I | Family Practice | CA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92069)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Addiction Medicine, Psychiatry | CA | |
| Clinical Social Worker | NV | |
| Physician Assistant | CA | |
| Clinical Psychologist | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| Internal Medicine | CA | |
| Family Practice | CA |
Reviews
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