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Dr. Scott J. Petersen , MD

General Practice β€’ Oakland, CA

Active NPI 1710034251 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

275 W Macarthur Blvd
Oakland, CA 946115641

Call 5107521000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

275 W Macarthur Blvd

Oakland, CA 946115641

Telephone 5107521000
Fax 5106209222
Organization at the Same NPPES Address or Phone
Kaiser Foundation Hospitals Facility NPI 1568874873

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Permanente Medical Group Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Boston University School Of Medicine

Graduation Year

1988

30-day fills

26 standardized 30-day fills in 2018

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,903 in 2018

The total cost of these prescriptions in 2018, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2018.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

38 years (graduated 1988)

CMS Doctors and Clinicians data list 1988 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Petersen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Petersen as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Oakland and California

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Petersen are from 2018.

18 active clinicians are listed under General Practice with a practice address in Oakland, CA (1,963 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Oakland

0% of these 18 clinicians have the CMS telehealth indicator.

27.8% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2018), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2018.

CMS Part D Β· Data Year 2018
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oseltamivir Phosphate Oseltamivir Phosphate 26 232 $2,903.03 26

Source: CMS Part D by Provider and Drug, 2018; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES CA G066975

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

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20101026000240

Enrollment State Jurisdiction

CA

PECOS Control ID

7810180510

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Permanente Medical Group Inc

901 Nevin Ave, Richmond, CA 948013143

Phone: 5103071500

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
NPI 1033301882

Doctor of Medicine (M.D.)

Dr. Benjamin Bonnes , MD

Emergency Medicine

NPI 1013053669

Doctor of Medicine (M.D.)

Dr. Nora Canty , MD

Radiology - Diagnostic Radiology

NPI 1033297809

Doctor of Medicine (M.D.)

Dr. Edward Cohen , MD

Internal Medicine

NPI 1013096718

Doctor of Medicine (M.D.)

NPI 1003508615

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Jennifer Harris , MD

Emergency Medicine

NPI 1003912015

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location December 15, 2021

Registered at 275 W MACARTHUR BLVD, OAKLAND, CA 946115641 (Tel: 5107521000)

πŸ“
Updated Business Mailing Address December 15, 2021

Registered at 275 W MACARTHUR BLVD, OAKLAND, CA 946115641 (Tel: 5107521000)

βœ…
NPI Profile Active September 18, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 18, 2014

Registered at 275 W MACARTHUR, OAKLAND, CA 946115641 (Tel: 5107521000)

πŸ“
Business Mailing Address (Initial Record) September 18, 2014

Registered at 275 W MACARTHUR, OAKLAND, CA 946115641 (Tel: 5107521000)

πŸ‘€
Provider Name / Credentials (Initial Record) September 18, 2014

Recorded as SCOTT PETERSEN, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2014

General Practice (license number reported to NPPES: CA G066975)

🟒
Initial NPI Registration & Enumeration January 05, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710034251
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2007
Last Update: December 15, 2021
Sole Proprietor: No

Other General Practices in Oakland

All General Practices in Oakland

Mailing Address

275 W Macarthur Blvd

Oakland, CA 946115641

Phone: 5107521000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.