DR. PETER JOHN NICIFOROS (M.D.) – Family Medicine Physician, NPI 1356359277
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. PETER JOHN NICIFOROS (M.D.)
9190, Haven Avenue, Rancho Cucamonga, San Bernardino County, California, 91730, United States
SUITE # 102
RANCHO CUCAMONGA, CA 917305431
Phone: (909) 527-8110
Fax: (909) 581-6738
Type: Location
330 N D ST STE 300
SAN BERNARDINO, CA 924011522
Phone: (909) 888-6602
Type: Location
840, Towne Center Drive, Pomona, Los Angeles County, California, 91767, United States
POMONA, CA 917675900
Phone: (909) 398-1550
Fax: (909) 398-1488
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $301.
Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.
Last reported payment date: 2023-11-09 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($74).
Total Amount
$301
General + Research + Ownership
Payments
13
Total payment records
General Amount
$301
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-12-26
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 |
|---|---|---|---|---|
| I20061226000194 | 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 91730)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| D E R M A T O L O G Y | CA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | CA | |
| - | CA | |
| Cardiac Surgery, Thoracic Surgery | CA | |
| Internal Medicine, Endocrinology | CA | |
| Sleep Medicine, Internal Medicine, Pulmonary Disease, Critical Care (Intensivists) | CA | |
| Pulmonary Disease, Internal Medicine | NJ | |
| Critical Care (Intensivists), Internal Medicine, Sleep Medicine, Pulmonary Disease | CA | |
| Physician Assistant | CA |
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