Michael Blair Peterson, M.D.
NPI 1255419024ActiveIndividual· Surgery· San Leandro, CA
Surgery (M.D.) in San Leandro, California, trained at University of California, Davis School of Medicine (class of 1980). Mostly services rather than prescriptions: Medicare paid $88,265 for 223 patients in 2024, with only 27 Part D claims. Mimedx Group, Inc. reported $49.74 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1255419024 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Nov 1, 2006 |
| Last updated in NPPES | Jul 14, 2022 |
| Certified by provider | Jul 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | G45972 | CA |
| General Practice | 208D00000X | G45972 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 223 |
|---|---|
| Services billed | 897 across 46 procedure codes |
| Paid by Medicare | $88,265 |
Part D prescriptions in 2024
| Prescriptions (claims) | 27 · 33 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $397.87 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | University of California, Davis School of Medicine |
|---|---|
| Graduation year | 1980 |
| Medicare specialty | General Surgery |
| Secondary specialties | Vascular Surgery |
Medical groups
- East Bay Cardiovascular and Thoracic Associates IncDanville, CA · 17 clinicians
- Cep America - Auc PCWalnut Creek, CA · 16 clinicians
Hospital affiliations
- John Muir Medical Center - Concord CampusConcord, CA
- John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA
- San Ramon Regional Medical CenterSan Ramon, CA
- Stanford Health Care Tri-ValleyPleasanton, CA
Other facilities
- Comfort Assisting, IncHome health agency · Walnut Creek, CA
Industry payments (Open Payments)
- 2025$49.74 · 2 payments from 1 company
- 2024$310.32 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mimedx Group, Inc. | $49.74 | 2 |
What the 2025 payments were for
- Food and Beverage$49.74 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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