PETER MERRILL JENSEN D.O.
NPI 1306826938
Ophthalmology in Rock Springs, WY

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
83.3/100
CMS Quality Rating
1208 HILLTOP DR, SUITE 200, ROCK SPRINGS, WY 82901(307) 382-4114(307) 382-4131 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peter Merrill Jensen D.o. NPPES

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

PETER MERRILL JENSEN D.O. (NPI 1306826938) is an individual ophthalmology provider in Rock Springs, Wyoming, licensed in Wyoming (5692A) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1306826938
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePETER MERRILL JENSENCredential: D.O.
Location Address1208 HILLTOP DR, SUITE 200Rock Springs, WY 82901-5857
Mailing Address1208 Hilltop Dr, Suite 200Rock Springs, WY 82901-5857 · (307) 382-4114 · Fax (307) 382-4131
Fax(307) 382-4131
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJanuary 19, 2006
Last NPPES UpdateAugust 12, 2015
NPI 1306826938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WY · 5692A
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.
1208 HILLTOP DR, Rock Springs, WY 82901

Other Identifiers 3

Medicare UPING10054
Medicare ID-Type UnspecifiedW307016WY
Medicaid110943000WY

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

Peter Merrill Jensen D.o. 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 ID4587736079
PECOS Enrollment IDI20080627000223
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 20

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
927 services243 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
508 services419 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
422 services60 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.
380 services225 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
342 services92 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
313 services122 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82901 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
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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.

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.

83.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
Improvement Activities40
Cost57.67

Referred Medical Equipment & Supplies CMS DME claims 2

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier19 claims19 services$55.13 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier19 claims37 services$45.12 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 6

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

Family Medicine
1208 HILLTOP DR, SUITE 205
ROCK SPRINGS, WY 82901
Clinic/Center (Physical Therapy)
1208 HILLTOP DR
ROCK SPRINGS, WY 82901
Clinic/Center (Medical Specialty)
1208 HILLTOP DR, SUITE 103
ROCK SPRINGS, WY 82901
Optometrist
1208 HILLTOP DR, SUITE 200
ROCK SPRINGS, WY 82901
Dentist (Endodontics)
1208 HILLTOP DR, SUITE 209
ROCK SPRINGS, WY 82901
Urology
1208 HILLTOP DR, SUITE 204
ROCK SPRINGS, WY 82901

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 Peter Jensen's NPI number?

The NPI number for Peter Jensen is 1306826938. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Peter Jensen located?

Peter Jensen practices at 1208 Hilltop Dr Suite 200, Rock Springs, WY 82901. The listed phone number is (307) 382-4114.

What is Peter Jensen's specialty?

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

Is Peter Jensen enrolled in Medicare?

Yes. Peter Jensen 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 Peter Jensen accept?

Health plans from Blue Cross Blue Shield of Wyoming and University of Utah Health Plans list Peter Jensen 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 Peter Jensen was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.