Bart J. Peterson, PA
NPI 1619150752ActiveIndividual· Physician Assistant· Roseville, CA
Physician Assistant (PA) in Roseville, California, licensed in CA and ID, with an NPI issued in December 2007. 196 Medicare patients in 2024, $16,997 paid; nearly all of their 320 Part D prescriptions were generic (90%).
Overview
| NPI | 1619150752 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Dec 12, 2007 |
| Last updated in NPPES | Apr 26, 2023 |
| Certified by provider | Apr 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA21631 | CA |
| Physician Assistant | 363A00000X | PA723 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 196 |
|---|---|
| Services billed | 445 across 44 procedure codes |
| Paid by Medicare | $16,997 |
Part D prescriptions in 2024
| Prescriptions (claims) | 320 · 326 30-day fills |
|---|---|
| Patients | 218 |
| Total drug cost | $3,653 |
| Generic share | 90% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 85 physician assistants in Roseville · All physician assistants in California