DR. PETER FORD (M.D.) – Dermatology Physician, NPI 1164451639

DR. PETER FORD (M.D.) is a healthcare provider. based in Santa barbara, California. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. A68809 (CA). The NPI Number for DR. PETER FORD (M.D.) is 1164451639

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER FORD (M.D.)
NPI
1164451639
Phone
(805) 681-1761
Address
PO BOX 62106
Enumeration Date
30 June 2006
Last Update Date
31 October 2011

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8056817800
Graduation Year
1995 (31 years ago)
PAC ID
9133163249
Group Practice PAC ID
3678471976
Professional Enrollment ID
I20050618000184
Address ID
CA931101416SA215XXLNXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

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Provider Addresses for DR. PETER FORD (M.D.)

  • La Santa, Calle 109, UPZ Santa Bárbara, Localidad Usaquén, Bogota, Bogota Capital District, Región Andina, 110111, Colombia

    SANTA BARBARA, CA 931602106

    Phone: (805) 681-1761

    Fax: (805) 681-1768

    Type: Mailing

  • 317, West Pueblo Street, Santa Barbara, Santa Barbara County, California, 93105, United States

    SANTA BARBARA, CA 931054355

    Phone: (805) 681-1761

    Fax: (805) 681-1768

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $1,319.

Total Amount is formed as General ($1,319) + Research ($0) + Ownership ($0) = $1,319.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($299).

Total Amount

$1,319

General + Research + Ownership

Payments

44

Total payment records

General Amount

$1,319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-06-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050618000184IDermatologyCATBD

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
17003Destruction of precancer skin growth, 2-14 growths3,101590$0
99213Established patient office or other outpatient visit, 20-29 minutes1,5361,017$0
17000Destruction of precancer skin growth, 1 growth1,055744$0
11102Biopsy of related skin growth, first growth408351$0
17110Destruction of skin growth, 1-14 growths315258$0
View full utilization report →

Insurance plans in this area (ZIP 93160)

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Provider's Procedures

DR. PETER FORD (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCA11101Biopsy of each additional growth of skin and/or tissue204153
DERMATOLOGYCA17003Destruction of 2-14 skin growths3622633

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: 3678471976View full group profile
NameSpecialtyState
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Interventional CardiologyCA
-CA
Physical Therapist In Private PracticeOH
Nurse PractitionerCA
O P T O M E T R YCA
-CA
-CA

Reviews

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Frequently asked questions

How do payers reference DR. PETER FORD (M.D.)?
For DR. PETER FORD (M.D.), use NPI 1164451639 as the unique 10-digit identifier.
Is DR. PETER FORD (M.D.) shown as active in public data?
Registry records indicate DR. PETER FORD (M.D.) maintains an active NPI.
What area of care is associated with DR. PETER FORD (M.D.)?
DR. PETER FORD (M.D.)'s record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in California is DR. PETER FORD (M.D.) registered?
Use Santa Barbara, California as the headline location for DR. PETER FORD (M.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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