Active NPI 1467428656 Individual Practitioner Male Practitioner

Dr. Michael S Petersen , MD

Orthopaedic Surgery - Hand Surgery • Davis, CA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Petersen, MD is a registered healthcare professional specializing in Orthopaedic Surgery - Hand Surgery in Davis, CA. Practice services are available at 2020 SUTTER PL under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2020 Sutter Pl
Suite 104

Davis, CA 956166213

Telephone 5307505900

Fax 5307505901

Associated Practice Facility / Clinic

🏢 Sutter Valley Medical Foundation Facility NPI 1700974961

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery - Hand Surgery in Davis, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.0 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Davis, CA (303 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	113	$234.00	$94.99
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	81	54	$17.00	$6.49
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$240.00	$77.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$344.00	$115.15
20550 Injection into tendon or ligament	35	30	$230.24	$59.23
26055 Incision of tendon covering	28	23	$2285.00	$568.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$343.00	$132.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$145.00	$60.76
25447 Removal of bone joints between wrist and fingers	18	17	$3356.00	$872.53
26480 Transplant of tendon of hand, without graft	17	16	$3381.00	$433.28
20600 Aspiration and/or injection of fluid from small joint	15	13	$186.00	$56.69
29075 Application of elbow to finger cast	12	11	$347.00	$95.41
64721 Release and/or relocation of hand nerve	12	12	$1923.00	$386.14
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	12	11	$54.00	$22.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0775 Injection, collagenase, clostridium histolyticum, 0.01 mg	904	11	$134.00	$58.06
99213 Established patient office or other outpatient visit, typically 15 minutes	219	161	$227.00	$95.58
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	217	85	$13.77	$6.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$334.00	$116.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	54	$333.00	$135.64
20550 Injection into tendon or ligament	55	43	$222.00	$57.50
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$233.00	$77.18
20600 Aspiration and/or injection of fluid from small joint	31	27	$177.55	$53.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	28	$139.00	$59.86
J1030 Injection, methylprednisolone acetate, 40 mg	24	11	$22.00	$6.27
26055 Incision of tendon covering	24	21	$2167.88	$593.48
64721 Release and/or relocation of hand nerve	23	21	$1863.00	$424.45
25447 Removal of bone joints between wrist and fingers	21	21	$3252.00	$873.08
26480 Transplant of tendon of hand, without graft	20	20	$3276.00	$429.95
20610 Aspiration and/or injection of fluid from large joint	17	12	$256.47	$80.79
20605 Aspiration and/or injection of medium joint or joint capsule	14	13	$252.71	$60.25
64721 Release and/or relocation of hand nerve	11	11	$1863.00	$272.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	248	175	$220.00	$96.01
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	208	80	$11.00	$6.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$324.00	$115.47
99202 New patient office or other outpatient visit, typically 20 minutes	65	65	$226.00	$76.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	52	$323.00	$136.19
26055 Incision of tendon covering	54	40	$2193.50	$559.68
20550 Injection into tendon or ligament	53	45	$214.00	$54.78
20600 Aspiration and/or injection of fluid from small joint	26	21	$178.62	$51.85
64721 Release and/or relocation of hand nerve	23	21	$1613.00	$411.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$135.00	$60.01
25447 Removal of bone joints between wrist and fingers	20	19	$3057.00	$879.97
26480 Transplant of tendon of hand, without graft	17	17	$2856.00	$431.16
20610 Aspiration and/or injection of fluid from large joint	16	11	$252.06	$78.54
64721 Release and/or relocation of hand nerve	15	15	$1613.00	$340.08
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	14	11	$51.00	$20.40
26160 Removal of growth of tendon finger or hand	12	12	$2352.00	$620.36
20605 Aspiration and/or injection of medium joint or joint capsule	12	11	$237.00	$57.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	232	170	$208.00	$78.90
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	190	66	$11.00	$7.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$310.00	$113.66
99202 New patient office or other outpatient visit, typically 20 minutes	66	66	$216.00	$80.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	54	$309.00	$115.44
26055 Incision of tendon covering	54	38	$2214.00	$507.59
20550 Injection into tendon or ligament	47	37	$210.21	$55.84
20610 Aspiration and/or injection of fluid from large joint	46	36	$216.61	$67.43
J1030 Injection, methylprednisolone acetate, 40 mg	44	34	$21.00	$6.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	27	$132.00	$48.50
20600 Aspiration and/or injection of fluid from small joint	24	20	$170.48	$52.64
26480 Transplant of tendon of hand, without graft	22	20	$2856.00	$413.14
25447 Removal of bone joints between wrist and fingers	22	20	$3057.00	$883.24
26160 Removal of growth of tendon finger or hand	18	17	$2259.00	$603.41
64721 Release and/or relocation of hand nerve	16	13	$1613.00	$450.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$305.00	$109.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	245	170	$208.00	$77.24
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	166	68	$19.00	$6.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$310.00	$110.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	72	$309.00	$112.95
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$216.00	$80.15
J1030 Injection, methylprednisolone acetate, 40 mg	54	43	$12.00	$6.14
20610 Aspiration and/or injection of fluid from large joint	52	42	$216.08	$62.89
20550 Injection into tendon or ligament	44	38	$208.00	$53.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$132.00	$48.03
29823 Removal of extensive shoulder joint tissue using an endoscope	21	20	$2332.00	$218.54
26055 Incision of tendon covering	19	17	$2214.00	$568.93
64721 Release and/or relocation of hand nerve	19	14	$1613.00	$441.63
25447 Removal of bone joints between wrist and fingers	17	16	$3057.00	$872.46
20605 Aspiration and/or injection of medium joint or joint capsule	17	16	$243.53	$55.06
26480 Transplant of tendon of hand, without graft	16	15	$2856.00	$396.32
20600 Aspiration and/or injection of fluid from small joint	16	14	$167.00	$51.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	11	$212.00	$75.42
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	14	$633.00	$175.31
29824 Partial removal of collar bone at shoulder using an endoscope	15	14	$2519.00	$517.81
23472 Prosthetic repair of shoulder joint, total shoulder	13	13	$5339.00	$1428.39
23412 Repair of chronic torn shoulder rotator cuff	11	11	$3143.00	$891.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	237	170	$202.00	$74.66
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	160	68	$18.00	$7.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	89	$301.00	$110.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$302.00	$110.72
J1030 Injection, methylprednisolone acetate, 40 mg	72	52	$11.00	$6.68
20610 Aspiration and/or injection of fluid from large joint	68	50	$230.24	$65.98
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$210.00	$78.26
20550 Injection into tendon or ligament	36	32	$202.00	$53.33
64721 Release and/or relocation of hand nerve	28	26	$1569.00	$387.82
20600 Aspiration and/or injection of fluid from small joint	21	20	$162.00	$44.05
29823 Removal of extensive shoulder joint tissue using an endoscope	21	21	$2269.00	$203.30
25447 Removal of bone joints between wrist and fingers	18	18	$2975.00	$855.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$128.00	$45.96
20605 Aspiration and/or injection of medium joint or joint capsule	16	14	$224.00	$49.17
26160 Removal of growth of tendon finger or hand	15	14	$2198.00	$586.22
23412 Repair of chronic torn shoulder rotator cuff	14	14	$3058.00	$875.01
29824 Partial removal of collar bone at shoulder using an endoscope	14	14	$2451.00	$444.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$575.00	$207.09
23472 Prosthetic repair of shoulder joint, total shoulder	13	13	$5196.00	$1489.97
26055 Incision of tendon covering	12	11	$2154.00	$507.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	270	180	$197.00	$73.69
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	186	70	$17.00	$6.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	120	$294.00	$109.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$295.00	$108.78
J1030 Injection, methylprednisolone acetate, 40 mg	65	42	$10.00	$5.71
20610 Aspiration and/or injection of fluid from large joint	61	41	$217.48	$64.12
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$205.00	$75.73
20600 Aspiration and/or injection of fluid from small joint	31	25	$168.19	$48.69
20550 Injection into tendon or ligament	30	23	$197.00	$51.12
64721 Release and/or relocation of hand nerve	29	27	$1536.00	$333.81
20605 Aspiration and/or injection of medium joint or joint capsule	24	23	$218.00	$47.58
29823 Removal of extensive shoulder joint tissue using an endoscope	19	19	$2222.00	$223.67
29130 Application of non-moveable, hinged finger splint	17	12	$149.00	$28.33
25447 Removal of bone joints between wrist and fingers	16	16	$2913.00	$833.62
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	16	15	$47.00	$19.07
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$603.00	$178.78
25310 Relocation of tendon of forearm and/or wrist	16	14	$2187.00	$334.26
26055 Incision of tendon covering	15	13	$2109.00	$529.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$563.00	$206.09
26860 Fusion of finger joint	14	14	$2043.00	$498.98
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$2400.00	$515.91
23412 Repair of chronic torn shoulder rotator cuff	11	11	$2995.00	$871.69

Medical Specialties & State Licenses

Orthopaedic Surgery - Hand Surgery Primary Specialty

NUCC Taxonomy Code: 207XS0106X

State License CA A49302

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare Individual Ptan

200018048 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners

Dr. Alice Van Alstine , MD

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Doctor of Medicine (M.D.)

Dr. Scott Porter , MD

Orthopaedic Surgery

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Doctor of Medicine (M.D.)

Dr. Arfan Din , DO

Family Medicine

NPI 1124139803

Doctor of Osteopathic Medicine (D.O.)

Mark Diaz , PA-C, MS, MPH

Physician Assistant

NPI 1164942116

Physician Assistant (Certified), Master of Science, Master of Public Health

Dr. Justine Laubly , MD

Family Medicine

NPI 1184640641

Doctor of Medicine (M.D.)

Dr. Stuart Hobbs , MD

Family Medicine

NPI 1225056807

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2015

Registered at 2020 SUTTER PL, SUITE 104, DAVIS, CA 956166213 (Tel: 5307505900)

📍

Updated Business Mailing Address July 08, 2015

Registered at 10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 958272539 (Tel: 8004700071)

👤

Provider Name / Credentials Updated July 08, 2015

Recorded as MICHAEL PETERSEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2015

Orthopaedic Surgery (License #A49302 in CA)

🟢

Initial NPI Registration & Enumeration February 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467428656

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 27, 2006

Last Update: July 08, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

10470 Old Placerville Rd, Suite 100

Sacramento, CA 958272539

Phone: 8004700071

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.