Individual provider Active NPI

Jared David Peterson, MD

  • Ophthalmology Physician
  • Layton, UT
National Provider Identifier
1982834834
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9048627-1205 Issued in UT
Practice address
1580 W Antelope Dr Ste 175
Layton, UT 84041-1175
Phone
(801) 773-2233
Fax
(385) 383-7033
NPI assigned
Jul 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 9048627-1205 UT Primary

Addresses

Primary practice location

1580 W Antelope Dr Ste 175
Layton, UT 84041-1175

Mailing address

1580 W Antelope Dr Ste 175
Layton, UT 84041-1175
Phone (801) 773-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20141030002652 UT Practitioner - Ophthalmology 1254571524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Eye Center Professional CorporationGroup PAC ID 7315979382, 4 clinicians

Practice addresses (Care Compare)

1580 W Antelope Dr
Suite 175
Layton, UT 84041-1175
Phone 80177322331011

Hospital & facility affiliations

  • Holy Cross Hospital-Davis Hospital, Layton, UT, CCN 460041
  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009

Merit-based Incentive Payment System (MIPS)

Final score
92.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery176

National Provider Directory

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

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1982834834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 W ANTELOPE DR STE 175",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411175",
            "telephone_number": "801-773-2233",
            "fax_number": "017-732-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 W ANTELOPE DR STE 175",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411175",
            "telephone_number": "801-773-2233",
            "fax_number": "385-383-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JARED",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-24",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "9048627-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.