Jeffrey Peterson, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD-18341 Issued in HI

Practice address

615 Piikoi St Ste 205
Honolulu, HI 96814-3139

Phone

(808) 591-9911

Fax

(808) 591-9909

NPI assigned

Apr 10, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Ophthalmology

Education

University of Texas Medical School at Houston, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tyrie Lee Jenkins MD IncGroup PAC ID 4183515265, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.91 of 100Reported as group

Quality

86.42

Improvement activities

40

Cost

47.82

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drjpeterson@jenkinseyecare.direct.eyemdemr.com

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.

• Tyrie Lee Jenkins, M.D., Inc.

  • Specialist
  • Honolulu, HI
  • NPI 1295791135
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1270857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578889945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31000",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968498295",
            "telephone_number": "808-591-9911",
            "fax_number": "808-591-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST STE 205",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143139",
            "telephone_number": "808-591-9911",
            "fax_number": "808-591-9909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Kiopaa Pl",
            "address_purpose": "LOCATION",
            "city": "Makawao",
            "state": "HI",
            "postal_code": "967688295",
            "country_code": "US",
            "telephone_number": "808-591-9911",
            "fax_number": "808-591-9909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "HI",
            "license": "MD-18341",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD-18341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kal Peterman
• Petersen Behavior Consulting LLC
• Lauren Marie Petersen, BCBA
• Megan Petersen, M.S., CCC-SLP
• Dawn M Peterson, DO
• Jill C Peterson, PSY.D.
• Laura D. Peterson, M.D.
• Lenore Dianne Peterson
• Robert L Peterson, M.D.
• Susie Bartolome Peterson, CSCD CCC-SLP

• Ophthalmology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Ophthalmology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.