Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JARED DAVID PETERSON
NPI 1053904672
Ophthalmology in Loveland, CO

Q: 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.

Q: What is Jared Peterson's specialty?

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

Q: 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 49 days 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.

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: August 23, 2026.

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

On this page

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 49 days 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.