MICHAEL S PETERSEN (M.D.) – Orthopaedic Hand Surgery Physician, NPI 1467428656

MICHAEL S PETERSEN (M.D.) is a healthcare provider. based in Davis, California. specializing in Orthopaedic Hand Surgery Physician. They hold the professional credentials M.D.. They hold a License No. A49302 (CA). The NPI Number for MICHAEL S PETERSEN (M.D.) is 1467428656

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL S PETERSEN (M.D.)
NPI
1467428656
Phone
(530) 750-5900
Address
2020 SUTTER PL
Enumeration Date
27 February 2006
Last Update Date
8 July 2015

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
7074322600
Graduation Year
1986 (40 years ago)
PAC ID
8820069206
Group Practice PAC ID
9830094515
Professional Enrollment ID
I20040802000625
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MICHAEL S PETERSEN (M.D.)

  • 2020 SUTTER PL

    SUITE 104

    DAVIS, CA 956166213

    Phone: (530) 750-5900

    Fax: (530) 750-5901

    Type: Location

  • 10470, Old Placerville Road, Mather, Rancho Cordova, Sacramento County, California, 95827, United States

    SUITE 100

    SACRAMENTO, CA 958272539

    Phone: (800) 470-0071

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-08-02

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
I20040802000625IHand SurgeryCATBD

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 minutes145113$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg8154$0
99202New patient office or other outpatient visit, 15-29 minutes4747$0
99203New patient office or other outpatient visit, 30-44 minutes4040$0
20550Injection into tendon or ligament3530$0
View full utilization report →

Insurance plans in this area (ZIP 95616)

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Provider's Procedures

MICHAEL S PETERSEN (M.D.) performs procedures in Orthopaedic Hand Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HAND SURGERYCA20610Aspiration and/or injection of large joint or joint capsule5039
HAND SURGERYCA64721Release and/or relocation of median nerve of hand2220

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: 9830094515View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Internal MedicineCA
-CA
Family PracticeCA
-CA
-CA
Allergy/Immunology, RheumatologyCA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

How do payers reference MICHAEL S PETERSEN (M.D.)?
For MICHAEL S PETERSEN (M.D.), use NPI 1467428656 as the unique 10-digit identifier.
Active or inactive — what applies to MICHAEL S PETERSEN (M.D.)?
You should see MICHAEL S PETERSEN (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to MICHAEL S PETERSEN (M.D.)?
MICHAEL S PETERSEN (M.D.)'s specialty line reads Orthopaedic Hand Surgery Physician. Clinical services aligned with this taxonomy classification.
Is MICHAEL S PETERSEN (M.D.) associated with Davis?
Public fields place MICHAEL S PETERSEN (M.D.) around Davis, California. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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