Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619150752 Individual Practitioner Male Practitioner

Bart J Peterson , PA

Physician Assistant • Roseville, CA

Professional Overview & Biography Verified Profile Summary

Bart Peterson, PA is a registered healthcare professional specializing in Physician Assistant in Roseville, CA. Practice services are available at 3 MEDICAL PLAZA DR STE 140 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3 Medical Plaza Dr Ste 140

Roseville, CA 956613088

Telephone 9168651400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Roseville, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
81 Specialists

Practicing in Roseville, CA (14617 Statewide)

Telehealth Adoption Rate
14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.9% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
97 95 $241.48 $80.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
84 82 $357.00 $111.20
81003 Automated urinalysis test
27 25 $18.00 $2.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
16 16 $90.00 $13.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
11 11 $152.00 $51.34

Medical Specialties & State Licenses

CMS Verified: 2023-04-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA21631

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License ID PA723

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License Number
PA723 (ID)

Practice Associates & Co-Workers

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

19 Associated Practitioners
NPI 1003902164

Doctor of Medicine (M.D.)

NPI 1013999101

Doctor of Medicine (M.D.)

Dr. Korina Tanner , MD

Family Medicine

NPI 1033138342

Doctor of Medicine (M.D.)

Dr. Martin Neft , MD

Family Medicine

NPI 1033214176

Doctor of Medicine (M.D.)

Dr. Adam Pace , MD

Family Medicine

NPI 1295016632

Doctor of Medicine (M.D.)

NPI 1316902000

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location April 26, 2023

Registered at 3 MEDICAL PLAZA DR STE 140, ROSEVILLE, CA 956613088 (Tel: 9168651400)

📍
Updated Business Mailing Address April 26, 2023

Registered at PO BOX 255228, SACRAMENTO, CA 958655228

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2023

Physician Assistant (License #PA723 in ID)

📍
Updated Practice Location August 31, 2021

Registered at 4725 MARKET ST, SAN DIEGO, CA 921024715 (Tel: 6195152560)

📍
Updated Business Mailing Address August 31, 2021

Registered at 823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102, SAN DIEGO, CA 92102 (Tel: 6195152300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2021

Physician Assistant (License #PA21631 in CA)

NPI Profile Active May 21, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2012

Registered at 25500 MEDICAL CENTER DR, MURRIETA, CA 925625965 (Tel: 9516966000)

📍
Updated Business Mailing Address May 21, 2012

Registered at 25500 MEDICAL CENTER DR, MURRIETA, CA 925625965 (Tel: 9516966000)

👤
Provider Name / Credentials Updated May 21, 2012

Recorded as BART PETERSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2012

Physician Assistant (License #PA723 in ID)

🟢
Initial NPI Registration & Enumeration December 12, 2007

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: 1619150752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2007
Last Update: April 26, 2023
Sole Proprietor: No

Mailing Address

Po Box 255228

Sacramento, CA 958655228

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.