Derrick Pelton, NP
NPI 1609208354 · Family Nurse Practitioner · Santa Rosa, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derrick Pelton, NP is a Family Nurse Practitioner provider in Santa Rosa, CA (NPI 1609208354).
Provider details
- NPI number
- 1609208354
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 95012148 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
677 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 431 | $85 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 77 | $118 |
| Automated Urinalysis Test81003 | 73 | $2 |
| Detection Test By Immunoassay With Direct Visual Observation for Streptococcus, Group a (strep)87880 | 33 | $16 |
| Amplifed Dna Or Rna Probe Detection of Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19) Antigen87635 | 26 | $50 |
| Detection Test By Multiplex Amplified Probe Technique for Severe Acute Respiratory Syndrome Coronavirus 2 (sars-Cov-2) (covid-19), Influenza Virus Types a and B, and Respiratory Syncytial Virus |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 114 | 108 |
| Cephalexin | 93 | 91 |
| Azithromycin | 57 | 55 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 45 | 44 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 44 | 44 |
| Doxycycline Hyclate | 37 | 36 |
| Fluticasone Propionate | 34 | 33 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-08-05
- Last updated
- 2022-02-09
- Certified
- 2022-02-09
Frequently asked questions
- What is Derrick Pelton's NPI number?
- Derrick Pelton's National Provider Identifier (NPI) is 1609208354, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Pelton's specialty?
- Derrick Pelton is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Derrick Pelton located?
- Derrick Pelton's practice location on file with NPPES is 3883 Airway Dr Ste 120, Santa Rosa, CA 95403-1678.
- What is Derrick Pelton's phone number?
- The practice phone number listed in the NPPES registry for Derrick Pelton is (707) 521-4495.
- Does Derrick Pelton accept Medicare?
- Derrick Pelton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derrick Pelton's NPI active?
- Yes — Derrick Pelton's NPI (1609208354) is active in the NPPES registry as of the last update on 2022-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.