MICHAEL S PETERSEN M.D. NPI 1467428656

NPI Information

  • NPI: 1467428656
  • Provider Name: MICHAEL S PETERSEN, M.D.
  • Classification: Orthopaedic Surgery - 207XS0106X
  • Specialization: Hand Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2020 SUTTER PL
    SUITE 104
    DAVIS, CA
    ZIP 95616
  • Phone: (530) 750-5900

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NPI Details

Michael S Petersen, M.D. is a hand surgery orthopaedic surgery in Davis, CA with 39 years of experience. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. Michael S Petersen, M.D. NPI is 1467428656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:1986

The provider's business location address is:

2020 SUTTER PL
SUITE 104
DAVIS, CA
ZIP 95616-213
Phone: (530) 750-5900
Fax: (530) 750-5901

The NPI 1467428656 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, collagenase, clostridium histolyticum, 0.01 mg (HCPCS:J0775)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection into tendon or ligament (HCPCS:20550)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Transfer of tendon to back of hand (HCPCS:26480)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Release and/or relocation of hand nerve (HCPCS:64721)

The enumeration date for this NPI number is 2/27/2006 and was last updated on 7/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0106XOrthopaedic SurgeryHand SurgeryA49302CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C67926MEDICARE UPINCALIFORNIA
20398360001MEDICARE NSC
3200018048OTHERCALIFORNIARAILROAD MEDICARE INDIVIDUAL PTAN
400A493020MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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