MICHAEL BLAIR PETERSON (M.D.) – Surgery Physician, NPI 1255419024
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,317 GENERAL SURGERY in CA
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Provider Addresses for MICHAEL BLAIR PETERSON (M.D.)
1320, El Capitan Drive, Danville, Contra Costa County, California, 94526, United States
STE 120
DANVILLE, CA 945266260
Phone: (925) 334-5800
Fax: (925) 689-3102
Type: Mailing
San Leandro Medical Center, 2500, Merced Street, San Leandro, Alameda County, California, 94577, United States
SAN LEANDRO, CA 945774201
Phone: (510) 454-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $584.
Total Amount is formed as General ($584) + Research ($0) + Ownership ($0) = $584.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: TACTILE SYSTEMS TECHNOLOGY INC ($161).
Total Amount
$584
General + Research + Ownership
Payments
7
Total payment records
General Amount
$584
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TACTILE SYSTEMS TECHNOLOGY INC | $161 |
| Organogenesis Inc. | $149 |
| Smith+Nephew, Inc. | $125 |
| Tactile Systems Technology Inc | $125 |
| Medline Industries LP | $23 |
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: 2011-03-16
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 |
|---|---|---|---|---|
| I20110316000724 | I | General Surgery | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 381 | 123 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 107 | 44 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 87 | 87 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 85 | 35 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 69 | 60 | $0 |
Insurance plans in this area (ZIP 94526)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WA | |
| Emergency Medicine, General Practice, Undersea And Hyperbaric Medicine | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | CA | |
| - | CA | |
| Emergency Medicine | CA | |
| - | CA | |
| Emergency Medicine | CA | |
| - | CA | |
| - | CA |
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