DR. JAYNE MARIE PETERSON M.D.
NPI 1124084397
Internal Medicine in Phoenix, AZ

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
1300 N 12TH STREET, SUITE 508, PHOENIX, AZ 85006(602) 839-3927(602) 839-4233 Get Directions Write a Review

NPPES record last updated: May 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jayne Marie Peterson M.d. NPPES

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

DR. JAYNE MARIE PETERSON M.D. (NPI 1124084397) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (18828) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (1985).

NPPES Registry Identity

NPI1124084397
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAYNE MARIE PETERSONCredential: M.D.
Location Address1300 N 12TH STREET, SUITE 508Phoenix, AZ 85006-2849
Mailing Address1300 N 12th Street, Suite 508Phoenix, AZ 85006-2849 · (602) 839-3927 · Fax (602) 839-4233
Fax(602) 839-4233
Sole ProprietorYes
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1985
Enumeration DateApril 25, 2006
Last NPPES UpdateMay 19, 2011
NPI 1124084397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AZ · 18828
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1300 N 12TH STREET, Phoenix, AZ 85006

Other Identifiers 5

Medicaid286098AZ
Medicare UPINC32831
Medicare PINZ123368
Medicare PINZ74588
Other18828AZ · State License

Accepted 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

Dr. Jayne Marie Peterson M.d. 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 ID4880768910
PECOS Enrollment IDI20080807000075
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
82 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier15 claims15 services$183.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
1300 N 12TH STREET, SUITE 320
PHOENIX, AZ 85006

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 Jayne Peterson's NPI number?

The NPI number for Jayne Peterson is 1124084397. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Jayne Peterson located?

Jayne Peterson practices at 1300 N 12th Street Suite 508, Phoenix, AZ 85006. The listed phone number is (602) 839-3927.

What is Jayne Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jayne Peterson enrolled in Medicare?

Yes. Jayne 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 Jayne Peterson accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Jayne 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.

When was this NPI record last updated?

The NPPES record for Jayne Peterson was last updated on May 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.