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DR. PETER DAMIEN JACQUES OD
NPI 1558904409
Optometrist in Wildwood, MO

Active since October 23, 2019PECOS EnrolledAccepts Medicare Assignment
16972 MANCHESTER RD, WILDWOOD, MO 63040(636) 477-5187 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 7, 2021, Jul 27, 2021, Jul 24, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Peter Damien Jacques Od NPPES

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

DR. PETER DAMIEN JACQUES OD (NPI 1558904409) is an individual optometrist in Wildwood, Missouri, licensed in Missouri (2019039864) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2019).

NPPES Registry Identity

NPI1558904409
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PETER DAMIEN JACQUESCredential: OD
Location Address16972 MANCHESTER RDWildwood, MO 63040-1200
Mailing Address16972 Manchester RdWildwood, MO 63040-1200 · (636) 477-5187
Phone(636) 477-5187
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2019
Enumeration DateOctober 23, 2019
Last NPPES UpdateSeptember 7, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2021
✔ NPI 1558904409 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 MO · 2019039864
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.
16972 MANCHESTER RD, Wildwood, MO 63040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. Peter Damien Jacques Od 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 ID6103250147
PECOS Enrollment IDI20191227000222
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 10

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 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.
54 services35 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services40 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.
38 services24 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.
22 services19 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.
18 services18 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63040 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES 2

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

JACQUES OPTOMETRY LLC
Optometrist
16972 MANCHESTER RD
WILDWOOD, MO 63040
St. Louis County (636) 477-5187
LISA JACQUES
Occupational Therapist
16972 MANCHESTER RD
WILDWOOD, MO 63040
St. Louis County (636) 477-5187

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 Jacques's NPI number?

The NPI number for Peter Jacques is 1558904409. It was assigned to this individual provider in the NPPES registry on October 23, 2019.

Where is Peter Jacques located?

Peter Jacques practices at 16972 Manchester Rd, Wildwood, MO 63040. The listed phone number is (636) 477-5187.

What is Peter Jacques's specialty?

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

Is Peter Jacques enrolled in Medicare?

Yes. Peter Jacques 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 Jacques accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 11 other insurers list Peter Jacques 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 Jacques was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.