Jill Peotter, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

742 Issued in CO

Practice address

501 Airport Rd
Grand River Health
Rifle, CO 81650-8510

Phone

(970) 625-1100

NPI assigned

Jul 27, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand River Hospital DistrictGroup PAC ID 7113837469, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grand River Hospital District Hospital, Rifle, CO, CCN 061317

Merit-based Incentive Payment System (MIPS)

Final score

94.89 of 100Reported as apm

Quality

86.88

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grand River Hospital District

  • Rural Health Clinic/Center
  • Rifle, CO
  • NPI 1124074042

  CO

  Medicare reassignment Care Compare group NPD
• Grand River Hospital District

  • Critical Access Hospital
  • Rifle, CO
  • NPI 1649218991

  CO

  Medicare reassignment Care Compare group NPD
• Grand River Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Rifle, CO
  • NPI 1023150927
  Care Compare group
• Grand River Hospital District

  • Skilled Nursing Facility
  • Rifle, CO
  • NPI 1841374139
  Care Compare group
• Grand River Hospital District

  • Rural Health Clinic/Center
  • Parachute, CO
  • NPI 1851347223
  Care Compare group
• Cardinal Pathology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Glenwood Springs, CO
  • NPI 1356899421
  NPD
• Grand River Hospital District

  • Health Educator
  • Rifle, CO
  • NPI 1194365544
  NPD
• Grand River Hospital District

  • Critical Access Hospital Clinic/Center
  • Rifle, CO
  • NPI 1225296049
  NPD

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

• Grand River Hospital District

  • Critical Access Hospital
  • Rifle, CO
  • NPI 1649218991

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1184902991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 AIRPORT RD",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816508510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 AIRPORT RD",
            "address_2": "GRAND RIVER HEALTH",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816508510",
            "telephone_number": "970-625-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEOTTER",
        "first_name": "JILL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-27",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "742",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26405512",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpeotter@qhndirect.org",
            "affiliation": "N",
            "endpointDescription": "Jill C Peotter Grand River Hospital DIRECT Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "501 Airport Rd",
            "address_2": "Grand River Health",
            "city": "Rifle",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816508510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Elizabeth Pena, MSW
• Matthew Boschert Percy, MD
• Regina Perkins, PHARMD
• Janessa Petermann
• Christopher L Poland, CRNA
• Powell & Associates LLC

• All providers in Rifle, CO
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.