DR. JOHN LOUIS PETERSON (MD) – Dermatology Physician, NPI 1891729109
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
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Provider Addresses for DR. JOHN LOUIS PETERSON (MD)
Blue Larkspur Lane, Monterey County, California, United States
MONTEREY, CA 939406509
Phone: (831) 333-9008
Fax: (831) 333-9010
Type: Location
San Ignacio Avenue, San Jose, Santa Clara County, California, 95139, United States
SAN JOSE, CA 951191215
Phone: (408) 369-5600
Fax: (408) 558-7949
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $297.
Total Amount is formed as General ($297) + Research ($0) + Ownership ($0) = $297.
Last reported payment date: 2023-07-11 • Largest payer in this snapshot: GENZYME CORPORATION ($102).
Total Amount
$297
General + Research + Ownership
Payments
12
Total payment records
General Amount
$297
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $102 |
| Regeneron Healthcare Solutions, Inc. | $45 |
| ABBVIE INC. | $31 |
| Incyte Corporation | $28 |
| Biofrontera Inc. | $25 |
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: 2004-09-20
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 |
|---|---|---|---|---|
| I20040920000785 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 230 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 136 | 118 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 135 | 123 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 84 | 75 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 75 | 14 | $0 |
Insurance plans in this area (ZIP 93940)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| O T O L A R Y N G O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | GA |
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