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JACOB DUANE PETERS PA-C
NPI 1164936985
Family Medicine in Beaverton, OR

Active since December 01, 2017PECOS EnrolledAccepts Medicare Assignment
2725 SW CEDAR HILLS BLVD STE 2A, BEAVERTON, OR 97005(503) 352-6000(503) 434-8597 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2019, Jan 2, 2019, Dec 27, 2018 and 1 more (4 updates tracked since 2017).

About Jacob Duane Peters Pa-c NPPES

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

JACOB DUANE PETERS PA-C (NPI 1164936985) is an individual family medicine provider in Beaverton, Oregon, licensed in Oregon (PA185067) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164936985
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACOB DUANE PETERSCredential: PA-C
Location Address2725 SW CEDAR HILLS BLVD STE 2ABeaverton, OR 97005-1344
Mailing AddressPo Box 6149Aloha, OR 97007-0149 · (503) 359-8501 · Fax (503) 434-8597
Phone(503) 352-6000
Fax(503) 434-8597
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 1, 2017
Last NPPES UpdateFebruary 11, 20194 updates tracked since enumeration
✔ NPI 1164936985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · PA185067
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2725 SW CEDAR HILLS BLVD STE 2A, Beaverton, OR 97005
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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

Jacob Duane Peters Pa-c 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 ID6507106341
PECOS Enrollment IDI20190314001160
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

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97005 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Other Providers at the Same Location NPPES

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

FRED POWERS PHARMD
Pharmacist
2725 SW CEDAR HILLS BLVD STE 2A
BEAVERTON, OR 97005
Washington County (503) 352-6000

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 Jacob Peters's NPI number?

The NPI number for Jacob Peters is 1164936985. It was assigned to this individual provider in the NPPES registry on December 1, 2017.

Where is Jacob Peters located?

Jacob Peters practices at 2725 SW Cedar Hills Blvd Ste 2A, Beaverton, OR 97005. The listed phone number is (503) 352-6000.

What is Jacob Peters's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacob Peters enrolled in Medicare?

Yes. Jacob Peters 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 Jacob Peters accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Jacob Peters 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 Jacob Peters affiliated with any hospitals?

According to CMS data, Jacob Peters is affiliated with Providence St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Peters was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.