DR. JEFFREY DAVID PETER DMD
NPI 1609182286
Dentist - General Practice in Independence, KY

Active since August 20, 2010Opted out of Medicare · through Jun 16, 2027
2025 DECLARATION DR STE B, INDEPENDENCE, KY 41051(859) 429-1327 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeffrey David Peter Dmd NPPES

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

DR. JEFFREY DAVID PETER DMD (NPI 1609182286) is an individual general practice provider in Independence, Kentucky, licensed in Kentucky (8860) and active in the NPI registry since August 2010. He has opted out of Medicare through June 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609182286
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEFFREY DAVID PETERCredential: DMD
Location Address2025 DECLARATION DR STE BIndependence, KY 41051-7983
Mailing Address2025 Declaration Dr Ste BIndependence, KY 41051-7983 · (859) 429-1327
Sole ProprietorYes
Enumeration DateAugust 20, 2010
Last NPPES UpdateMarch 17, 2015
NPI 1609182286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in KY · 8860
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2025 DECLARATION DR STE B, Independence, KY 41051

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jeffrey David Peter Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 16, 2015 through June 16, 2027.

Opt-Out Effective DateJune 16, 2015
Opt-Out In Effect ThroughJune 16, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41051 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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

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

Dentist (General Practice)
2025 DECLARATION DR STE B
INDEPENDENCE, KY 41051

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 Jeffrey Peter's NPI number?

The NPI number for Jeffrey Peter is 1609182286. It was assigned to this individual provider in the NPPES registry on August 20, 2010.

Where is Jeffrey Peter located?

Jeffrey Peter practices at 2025 Declaration Dr Ste B, Independence, KY 41051. The listed phone number is (859) 429-1327.

What is Jeffrey Peter's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jeffrey Peter enrolled in Medicare?

No. Jeffrey Peter has opted out of Medicare through June 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jeffrey Peter accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jeffrey Peter 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 Jeffrey Peter was last updated on March 17, 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.