NPIMap

Individual provider Active NPI

Peter Bernard Albert Pappas, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Santa Rosa, CA
National Provider Identifier
1003980566
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
G74506 Issued in CA
Practice address
76 Brookwood Ave
Santa Rosa, CA 95404-4312
Phone
(707) 523-2381
Fax
(707) 523-2677
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X G74506 CA Primary

Addresses

Primary practice location

76 Brookwood Ave
Santa Rosa, CA 95404-4312

Mailing address

76 Brookwood Ave
Santa Rosa, CA 95404-4312
Phone (707) 523-2381

Other identifiers 2

IdentifierTypeStateIssuer
680468716OtherCATAX ID
00G745060MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105000263 CA Practitioner - Orthopedic Surgery 6002728425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Southern California Keck School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

76 Brookwood Ave
Santa Rosa, CA 95404-4312

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion34
Laminectomy or laminotomy (partial removal of spine bones)55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G74506CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookwood Anesthesia Inc CurrentSince Aug 9, 2023 Accepting new patients
Santa Rosa Ambulatory Surgical Center Medical Group Inc CurrentSince Oct 20, 2000 Accepting new patients
Peter B a Pappas MD Inc CurrentSince Jun 17, 2010 Accepting new patients

Locations

76 Brookwood Ave
Santa Rosa, CA 95404
Phone (707) 523-2381

Interoperability endpoints

  • Direct secure messaging: ppappasmd41998@hisp.ehr.sutterhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003980566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BROOKWOOD AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044312",
            "telephone_number": "707-523-2381",
            "fax_number": "707-523-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BROOKWOOD AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044312",
            "telephone_number": "707-523-2381",
            "fax_number": "707-523-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "PETER",
        "middle_name": "BERNARD ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "G74506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "680468716",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G745060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.