JASON PETERSEN O.D.
NPI 1407235948
Optometrist in Sandpoint, ID

Q: What is Jason Petersen's NPI number?

The NPI number for Jason Petersen is 1407235948. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Q: What is Jason Petersen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Petersen was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 28, 2015PECOS EnrolledAccepts Medicare Assignment

97.62/100

CMS Quality Rating

307 S 1ST AVE, SANDPOINT, ID 83864(208) 263-8501 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2020, Jun 17, 2019 (2 updates tracked since 2019).

On this page

About Jason Petersen O.d. NPPES

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

JASON PETERSEN O.D. (NPI 1407235948) is an individual optometrist in Sandpoint, Idaho, licensed in Idaho (ODP-100336) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2015).

NPPES Registry Identity

NPI1407235948

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJASON PETERSENCredential: O.D.

Location Address307 S 1ST AVESandpoint, ID 83864-1201

Mailing Address307 S 1st AveSandpoint, ID 83864-1201 · (208) 263-8501 · Fax (208) 263-9713

Phone(208) 263-8501

Sole ProprietorNo

Medical School CMSOhio State University - College Of OptometryGraduated 2015

Enumeration DateMay 28, 2015

Last NPPES UpdateMay 6, 20202 updates tracked since enumeration

NPPES CertifiedMay 6, 2020

✔ NPI 1407235948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in ID · ODP-100336

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

307 S 1ST AVE, Sandpoint, ID 83864

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, 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

Jason Petersen O.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 ID7517275621

PECOS Enrollment IDI20151008002097

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 11

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 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.

818 services678 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

460 services264 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

337 services316 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

299 services250 patients

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.

249 services206 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

248 services238 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83864 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

97.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.24

Improvement Activities

Other Providers at the Same Location NPPES 4

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

EYE CLINIC OF SANDPOINT PA

Eyewear Supplier

307 S 1ST AVE
SANDPOINT, ID 83864

Bonner County (208) 263-8501

DR. CHARLES C GEORGE MD

Ophthalmology

307 S 1ST AVE
SANDPOINT, ID 83864

Bonner County (208) 263-8501

EYE CLINIC OF SANDPOINT PA

Ophthalmology

307 S 1ST AVE
SANDPOINT, ID 83864

Bonner County (208) 263-8501

BRAYDEN PETERSEN OD

Optometrist

307 S 1ST AVE
SANDPOINT, ID 83864

Bonner County (208) 263-8501

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 Jason Petersen's NPI number?

The NPI number for Jason Petersen is 1407235948. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Jason Petersen located?

Jason Petersen practices at 307 S 1st Ave, Sandpoint, ID 83864. The listed phone number is (208) 263-8501.

What is Jason Petersen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jason Petersen enrolled in Medicare?

Yes. Jason Petersen 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 Jason Petersen accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jason Petersen 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 Jason Petersen was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.