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

DR. JACOB EDWARD PETERSON MD, MBA
NPI 1295196384
Internal Medicine - Pulmonary Disease in Norwich, CT

Active since March 16, 2016PECOS Enrolled
95.11/100
CMS Quality Rating
79 WAWECUS ST STE 103, NORWICH, CT 06360(860) 886-1862(860) 886-2046 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2026, Aug 6, 2024, Jun 23, 2023 and 5 more (8 updates tracked since 2016).

About Dr. Jacob Edward Peterson Md, Mba NPPES

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

DR. JACOB EDWARD PETERSON MD, MBA (NPI 1295196384) is an individual pulmonary disease provider in Norwich, Connecticut, licensed in Connecticut (76208) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1295196384
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JACOB EDWARD PETERSONCredential: MD, MBA
Location Address79 WAWECUS ST STE 103Norwich, CT 06360-2173
Mailing Address79 Wawecus St Ste 103Norwich, CT 06360-2173 · (860) 886-1862 · Fax (860) 886-2046
Phone(860) 886-1862
Fax(860) 886-2046
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 16, 2016
Last NPPES UpdateAugust 4, 20268 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1295196384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CT · 76208
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 76208 (CT), 0101263068 (VA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101263068 (VA)
Also ListedHospitalistTaxonomy 208M00000X · License 0101263068 (VA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
79 WAWECUS ST STE 103, Norwich, CT 06360
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Other Names 1

Other Name (5)Dr. Jacob Edward Peterson Md, Mba

Secondary Practice Locations 2

Location 1600 Gresham Dr Fl 5Norfolk, VA 23507-1904 · Phone (757) 388-3198
Location 220 York StNew Haven, CT 06510-3220 · Phone (203) 688-4242

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. Jacob Edward Peterson Md, Mba 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 ID1951694819
PECOS Enrollment IDI20260415000867
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06360 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

ANKIT GUPTA
Internal Medicine (Pulmonary Disease)
79 WAWECUS ST STE 103
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-1862
DR. JOSE ANGELO ARAULLO DE DIOS M.D.
Internal Medicine (Pulmonary Disease)
79 WAWECUS ST STE 103
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-1862
DONNA MARIE ROMITO DO
Internal Medicine (Pulmonary Disease)
79 WAWECUS ST STE 103
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-1862
DR. ATUL VIJAY PALKAR M.D.
Internal Medicine (Pulmonary Disease)
79 WAWECUS ST STE 103
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-1862
PRIYA BAKAYA MD
Internal Medicine (Pulmonary Disease)
79 WAWECUS ST STE 103
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-1862
JACQUELINE MARIE HENNIGAR APRN
Nurse Practitioner (Family)
79 WAWECUS ST STE 103
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-1862
PULMONARY PHYSICIANS OF NORWICH PC
Internal Medicine (Pulmonary Disease)
79 WAWECUS ST STE 103
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-1862
DR. CHRIS YAN MD, MPH
Internal Medicine (Pulmonary Disease)
79 WAWECUS ST STE 103
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-1862

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 Peterson's NPI number?

The NPI number for Jacob Peterson is 1295196384. It was assigned to this individual provider in the NPPES registry on March 16, 2016. The provider is also known as Dr. Jacob Edward Peterson MD, Mba.

Where is Jacob Peterson located?

Jacob Peterson practices at 79 Wawecus St Ste 103, Norwich, CT 06360. The listed phone number is (860) 886-1862.

What is Jacob Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jacob Peterson enrolled in Medicare?

Yes. Jacob 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.

When was this NPI record last updated?

The NPPES record for Jacob Peterson was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.