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Active NPI 1255419024 Individual Practitioner Male Practitioner

Dr. Michael Blair Peterson , MD

Surgery • San Leandro, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Peterson, MD is a certified Surgery practicing in San Leandro, CA. With approximately 46 years of clinical experience since graduating from University Of California, Davis School Of Medicine in 1980, Dr. Peterson delivers high-quality medical care to the local community at 2500 MERCED ST.

Dr. Peterson maintains professional affiliations with East Bay Cardiovascular And Thoracic Associates Inc, Cep America - Auc Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of tissue from wound, 20.0 sq cm or less, 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

2500 Merced St

San Leandro, CA 945774201

Telephone 5104541000
Associated Practice Facility / Clinic
🏢 Kaiser Foundation Hospitals Facility NPI 1649605403

Medicare Profile & Education

Medical School

University Of California, Davis School Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in San Leandro, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
46 Yrs +13.6 yrs vs City Avg
City Avg: 32.4 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
12 Specialists

Practicing in San Leandro, CA (3346 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (46 Years) 46 Yrs
San Leandro Specialty Average (32.4 Years) 32.4 Yrs

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
147 54 $360.73 $108.54
99213 Established patient office or other outpatient visit, typically 15 minutes
133 59 $237.27 $73.71
99213 Established patient office or other outpatient visit, typically 15 minutes
113 74 $324.00 $110.44
97597 Removal of tissue from wound, 20.0 sq cm or less
73 30 $179.00 $38.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
69 69 $586.00 $199.03
17250 Application of chemical to stop tissue regrowth in wound
41 21 $285.88 $43.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
21 21 $587.00 $148.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 13 $456.00 $155.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
14 14 $397.00 $134.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $346.00 $90.73

Medical Specialties & State Licenses

CMS Verified: 2022-07-14
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G45972

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

General Practice

NUCC Taxonomy Code: 208D00000X

State License CA G45972

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00G459720 (CA)

Hospital & Practice Group Affiliations

East Bay Cardiovascular And Thoracic Associates Inc

1320 El Capitan Dr, Danville, CA 945266260

Phone: 9256762600

Cep America - Auc Pc

5401 Norris Canyon Rd, San Ramon, CA 945835406

Phone: 9252758210

Cep America - Auc Pc

1601 Ygnacio Valley Rd, Walnut Creek, CA 945983122

Phone: 9259393000

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003073933

Doctor of Medicine (M.D.)

Dr. Kai-Yin See , MD

Radiology - Diagnostic Neuroimaging

NPI 1003246869

Doctor of Medicine (M.D.)

Anthony Battaglia , RN

Registered Nurse

NPI 1003700360

Registered Nurse

NPI 1003902719

Doctor of Pharmacy (Pharm.D.)

Mary Ann Bloyer , CNM

Advanced Practice Midwife

NPI 1003952276

Certified Nurse Midwife

Elizabeth Macera , NP

Nurse Practitioner

NPI 1003979295

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2022

General Practice (License #G45972 in CA)

📍
Updated Business Mailing Address July 02, 2020

Registered at 1320 EL CAPITAN DR, STE 120, DANVILLE, CA 945266260 (Tel: 9253345800)

NPI Profile Active August 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2015

Registered at 2500 MERCED ST, SAN LEANDRO, CA 945774201 (Tel: 5104541000)

📍
Updated Business Mailing Address August 03, 2015

Registered at 2500 MERCED ST, SAN LEANDRO, CA 945774201 (Tel: 5104541000)

👤
Provider Name / Credentials Updated August 03, 2015

Recorded as MICHAEL PETERSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2015

Surgery (License #G45972 in CA)

🟢
Initial NPI Registration & Enumeration November 01, 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: 1255419024
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: July 14, 2022
Sole Proprietor: No

Mailing Address

1320 El Capitan Dr, Ste 120

Danville, CA 945266260

Phone: 9253345800

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.