1. Home
  2. Directory
  3. Colorado
  4. Loveland
  5. Ophthalmology
  6. NPI Profile

JARED DAVID PETERSON
NPI 1053904672
Ophthalmology in Loveland, CO

Active since February 15, 2021PECOS EnrolledAccepts Medicare Assignment
5250 HAHNS PEAK DR STE 180, LOVELAND, CO 80538(303) 772-3300(303) 682-3380 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2026, Apr 8, 2025, Feb 15, 2021 (3 updates tracked since 2021).

About Jared David Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JARED DAVID PETERSON (NPI 1053904672) is an individual ophthalmology provider in Loveland, Colorado, licensed in Oregon (MD224449) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1053904672
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJARED DAVID PETERSON
Location Address5250 HAHNS PEAK DR STE 180Loveland, CO 80538-8712
Mailing AddressDepartment Of Ophthalmology Medical Center BlvdWinston Salem, NC 27157-0001
Phone(303) 772-3300
Fax(303) 682-3380
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2021
Enumeration DateFebruary 15, 2021
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1053904672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OR · MD224449
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5250 HAHNS PEAK DR STE 180, Loveland, CO 80538
Open in Google Maps ↗

Secondary Practice Location 1

Location 1Medical Center BoulevardWinston Salem, NC 27157-0001 · Phone (336) 716-3971

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jared David Peterson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42627457
PECOS Enrollment IDI20250417000790
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jared Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Emanuel Hospital & Health Center
960 mi
General Acute Care Hospital
1225 NE 2ND AVE
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
  • 719 clinicians in this Medicare group
NPI 1003367491 (503) 944-8000
Legacy Good Samaritan Hospital And Medical Center
961 mi
General Acute Care Hospital
1015 NW 22ND AVE
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 387 clinicians in this Medicare group
NPI 1780608216 (503) 413-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80538 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Peterson's NPI number?

The NPI number for Jared Peterson is 1053904672. It was assigned to this individual provider in the NPPES registry on February 15, 2021.

Where is Jared Peterson located?

Jared Peterson practices at 5250 Hahns Peak Dr Ste 180, Loveland, CO 80538. The listed phone number is (303) 772-3300.

What is Jared Peterson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jared Peterson enrolled in Medicare?

Yes. Jared Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jared Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Peterson reassigns Medicare benefits to 2 organizations: Legacy Emanuel Hospital & Health Center (Portland, OR) and Legacy Good Samaritan Hospital And Medical Center (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jared Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jared Peterson accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Jared Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jared Peterson affiliated with any hospitals?

According to CMS data, Jared Peterson is affiliated with Legacy Emanuel Medical Center and Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Jared Peterson was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.