NPPES file of Aug 9, 2026

Peter Paul Peng, PA-C

Surgical Physician Assistant · Loma Linda, CA

Peter Paul Peng, PA-C is a surgical physician assistant with a practice address in Loma Linda, California, and NPI 1497421747, issued on Aug 17, 2021. Check the license (California PA60228, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1497421747
Name
Peter Paul Peng
Credential
PA-C
Primary taxonomy
Surgical Physician Assistant 363AS0400X
License number
PA60228 CA
Self-reported in NPPES; status is on the state search
Practice location
11175 Campus St Ste 21121, Loma Linda, CA 92350
Phone
(909) 558-5959
Enumerated
Aug 17, 2021
Record last updated
Jul 11, 2023
Medicare enrollment
Enrolled (PECOS I20211215001691); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 11175 Campus St Ste 21121

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Mona KakavandStudent in an Organized Health Care Education/Training Program1083319248

Verify Peter Paul Peng in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license PA60228
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

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The practice group's MIPS final score for 2023 (Medicare payment program): 85.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score71.8
  2. Costout of 100 · 30%64.5
  3. Promoting interoperabilityout of 100 · 25%82.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $198.87

3 payments; by number, the most common kind was food and beverage; the largest payer was Medical Device Business Services, Inc. The 7,578 providers of this specialty with any payment received $703.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Peter Peng$198.87
  2. Specialty average$703.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Faculty Physicians And Surgeons OF LlusmLoma Linda, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Peter Paul Peng among 1,075 surgical physician assistant records in California

Peter Paul Peng, PA-C is one of 1,075 surgical physician assistant records with a practice address in California. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 87% of them.

  • NPI issued2021 · 87% of these records are older, 10% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 60% of these records are
  • Graduated2021 · median 2012 among the 649 with a school on file
  • Record last updated2023 · 53% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Surgical Physician Assistant providers in California

There are 1,075 surgical physician assistant records in California.

The 8 surgical physician assistant records with the nearest ZIP codes

  1. Andrew FelixLoma Linda, CA 923501851179154
  2. Mark Grove, PA-CLoma Linda, CA 923501679306153
  3. Leigh Ballou, PA-CLoma Linda, CA 923541891794657
  4. Andrea RidaLoma Linda, CA 923541629541354
  5. Jason Roddick, PA-CLoma Linda, CA 923541164509899
  6. O. Shattuck, P.A.Loma Linda, CA 923541568569598
  7. Lisa Bodzio, PA-CFontana, CA 923351356548069
  8. Jesse Ingram, PA-CFontana, CA 923351851512560

Common questions

What is Peter Paul Peng, PA-C's NPI number?

Peter Paul Peng, PA-C's National Provider Identifier (NPI) is 1497421747, issued on Aug 17, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Peter Paul Peng, PA-C located?

The NPPES record lists a practice address at 11175 Campus St Ste 21121, Loma Linda, CA, 92350. Phone: (909) 558-5959. Providers update this record themselves, so call before visiting.

How can I verify Peter Paul Peng, PA-C's license?

NPPES lists California license number PA60228, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

What is Peter Paul Peng, PA-C's MIPS final score?

The 2023 MIPS final score is 85.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.