Doctor profile · Federal record

Dr. Derrick Pelton, NP

Family Nurse Practitioner (CMS: Nurse Practitioner) · Santa Rosa, CA

  • NPI 1609208354
  • Accepts Medicare
  • 13 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3883 Airway Dr Ste 120
Santa Rosa, CA 954031678
(707) 521-4495
fax (707) 573-5421
Mailing address
325 Distel Cir
Los Altos, CA 940221408

Credentials & registration

NPPES · NUCC
NPI registered
August 2013 — 13 yrs on file
Profile last updated
February 9, 2022
Year of graduation
2013 — 13 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State license (1)
California #95012148

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1609208354. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
626
Distinct HCPCS
8
Medicare allowed
$46,757
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 343 330 $84
99214 Established patient office or other outpatient visit, 30-39 minutes 116 116 $117
81003 Automated urinalysis test 61 57 $2
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 52 50 $16
87637 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 18 18 $140
87804 Detection test by immunoassay with direct visual observation for influenza virus 14 14 $16
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 11 11 $50
96372 Injection of drug or substance under skin or into muscle 11 11 $13

In context: peer comparison

Among 11 peers in this city , average services per provider: 142. This provider delivers 4.4× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
391
Patients
387
Total drug cost
$3,966
Drug Type Claims Patients Total cost
Prednisone Generic 77 76 $199
Cephalexin Generic 60 59 $541
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 38 38 $1,042
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 37 35 $457
Azithromycin Generic 28 28 $170
Doxycycline Hyclate Generic 23 23 $326
Fluticasone Propionate Generic 20 20 $304
Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) Brand 17 17 $124
Ibuprofen Generic 15 15 $88
Mupirocin Generic 15 15 $166

Frequently asked questions

Auto-generated from federal data
What is Dr. Derrick Pelton's medical specialty?
Dr. Derrick Pelton practices Family Nurse Practitioner in Santa Rosa, CA.
Where does Dr. Derrick Pelton practice?
Dr. Derrick Pelton practices at 3883 Airway Dr Ste 120, Santa Rosa, CA 954031678. Office phone: 7075214495.
What is Dr. Derrick Pelton's NPI?
Dr. Derrick Pelton's National Provider Identifier (NPI) is 1609208354, issued by NPPES.
Does Dr. Derrick Pelton accept Medicare assignment?
Yes. Dr. Derrick Pelton accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Derrick Pelton commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Automated urinalysis test (HCPCS 81003). Source: CMS Medicare Physician & Other Practitioners file.