Individual provider Active NPI

Jeffrey L Peckinpaugh, MD

  • Ophthalmology Physician
  • Bozeman, MT
National Provider Identifier
1083817647
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
18600 Issued in MT
Practice address
1905 W College St
Bozeman, MT 59718-4061
Phone
(406) 490-9953
Fax
(855) 802-4392
NPI assigned
Jun 8, 2007
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 18600 MT Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X MED-PHYS-LIC-18600 MT

Addresses

Primary practice location

1905 W College St
Bozeman, MT 59718-4061

Mailing address

PO Box 4194
Butte, MT 59702-4194
Phone (206) 910-2452

Other practice location 1

2744 Floral Blvd
Butte, MT 59701-4116
Phone (206) 910-2452

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120809000382 MT Practitioner - Ophthalmology 7911185491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Washington School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1905 W College St
Bozeman, MT 59718-4061
Phone (406) 490-9953

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.05 of 100Reported as group
Quality
59.76
Promoting interoperability
99
Improvement activities
40
Cost
54.58

Merit-based Incentive Payment System (MIPS)

Final score
78.04 of 100Reported as individual
Quality
70.98
Promoting interoperability
80
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18600MTMDOphthalmology Physician
MED-PHYS-LIC-18600MTMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peckinpaugh Oculoplastic Surgery Ophthalmology CurrentSince Jul 14, 2014 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1727 W College St
Bozeman, MT 59715
Phone (406) 587-4432

1905 W College St
Bozeman, MT 59718
Phone (406) 490-9953

401 S Alabama St
Ste 7
Butte, MT 59701
Phone (406) 723-7300

1005 Partridge Pl
Ste 3
Helena, MT 59602
Phone (406) 494-8995

320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9627/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jeffrey.peckinpaugh.1@9627.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 6

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1083817647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4194",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597024194",
            "telephone_number": "206-910-2452",
            "fax_number": "855-802-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W COLLEGE ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184061",
            "telephone_number": "406-490-9953",
            "fax_number": "855-802-4392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2744 Floral Blvd",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597014116",
            "country_code": "US",
            "telephone_number": "206-910-2452",
            "fax_number": "855-802-4392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECKINPAUGH",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MT",
            "license": "18600",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "MT",
            "license": "MED-PHYS-LIC-18600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.