RONALD TODD PETERSON (DO) – Emergency Medicine Physician, NPI 1477533586

RONALD TODD PETERSON (DO) is a healthcare provider. based in Bakersfield, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 20A7104 (CA). The NPI Number for RONALD TODD PETERSON (DO) is 1477533586

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
RONALD TODD PETERSON (DO)
NPI
1477533586
Phone
(661) 395-3000
Address
2615 EYE ST
Enumeration Date
17 January 2006
Last Update Date
28 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5597841110
Graduation Year
1995 (31 years ago)
PAC ID
8123004033
Group Practice PAC ID
7113412560
Professional Enrollment ID
I20040629001252
Address ID
CA932573320PO465XXAVEX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,790 EMERGENCY MEDICINE in CA

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Provider Addresses for RONALD TODD PETERSON (DO)

  • 2615, Eye Street, Bakersfield, Kern County, California, 93301, United States

    BAKERSFIELD, CA 933012006

    Phone: (661) 395-3000

    Fax: (661) 323-4703

    Type: Location

  • PO BOX 82396

    BAKERSFIELD, CA 933802396

    Phone: (661) 323-5918

    Fax: (661) 323-4703

    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: 2004-06-29

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
I20040629001252IEmergency MedicineCATBD

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
99285Emergency department visit with high level of medical decision making7069$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3225$0
99284Emergency department visit with moderate level of medical decision making2929$0
99291Critical care, first 30-74 minutes2927$0
View full utilization report →

Insurance plans in this area (ZIP 93301)

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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: 7113412560View full group profile
NameSpecialtyState
Physician AssistantNY
Physician AssistantCA
Physician AssistantMD
Physician AssistantCA
Nurse PractitionerCA
Emergency MedicineCA
Physician AssistantWA
Nurse PractitionerAZ
Emergency Medicine, Family PracticeCA
Physician AssistantNY

Reviews

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Frequently asked questions

How is RONALD TODD PETERSON (DO) identified in CMS data?
CMS-hosted NPPES data lists RONALD TODD PETERSON (DO) with NPI 1477533586.
Does CMS list RONALD TODD PETERSON (DO) as active?
Yes — RONALD TODD PETERSON (DO) is active in the NPI listing used on this page.
What healthcare role does RONALD TODD PETERSON (DO) hold?
Scheduling teams often label RONALD TODD PETERSON (DO) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect RONALD TODD PETERSON (DO) on a map?
Expect Bakersfield, California as a primary anchor for RONALD TODD PETERSON (DO) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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