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JACK A PETERSON D.O.
NPI 1790717163
Family Medicine in Cochranton, PA

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
180 N FRANKLIN ST STE B, COCHRANTON, PA 16314(814) 424-1126(814) 251-1568 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2021, Jun 13, 2017, Dec 13, 2016 and 1 more (4 updates tracked since 2016).

About Jack A Peterson D.o. NPPES

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

JACK A PETERSON D.O. (NPI 1790717163) is an individual family medicine provider in Cochranton, Pennsylvania, licensed in Pennsylvania (OS008804L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Meadville Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences.

NPPES Registry Identity

NPI1790717163
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACK A PETERSONCredential: D.O.
Location Address180 N FRANKLIN ST STE BCochranton, PA 16314-9706
Mailing Address1034 Grove StMeadville, PA 16335-2945 · (814) 425-1126 · Fax (814) 425-1156
Phone(814) 424-1126
Fax(814) 251-1568
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health Sciences
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 6, 20214 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
✔ NPI 1790717163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS008804L
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

180 N FRANKLIN ST STE B, Cochranton, PA 16314
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Other Identifiers 1

Medicaid00163946000003PA

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

Jack A Peterson 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 ID2163682113
PECOS Enrollment IDI20120328000644
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
156 services113 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
110 services110 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.
52 services34 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
49 services49 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
48 services48 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
31 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Meadville Medical Center

Acute Care Hospitals · Meadville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390113
Location751 Liberty StreetMeadville, PA 16335 · Crawford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16314 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers28 claims48 services$5.81 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers11 claims11 services$17.61 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers13 claims13 services$16.47 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers16 claims87 services$2.25 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers26 claims26 services$110.22 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 2

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

ASHLEY M HEADLEY CRNP
Nurse Practitioner (Family)
180 N FRANKLIN ST STE B
COCHRANTON, PA 16314
Crawford County (814) 425-1126
DR. WILLIAM SCOTT WOLFE M.D.
Family Medicine
180 N FRANKLIN ST STE B
COCHRANTON, PA 16314
Crawford County (814) 425-1126

Frequently Asked Questions

What is Jack Peterson's NPI number?

The NPI number assigned to this healthcare provider is 1790717163, enumerated as an "individual" on July 07, 2006.

Where is the provider located?

The provider is located at 180 N FRANKLIN ST STE B COCHRANTON, PA 16314 and the phone number is (814) 424-1126.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does Jack Peterson accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Is Jack Peterson affiliated with any hospitals?

Jack Peterson is affiliated with: MEADVILLE MEDICAL CENTER.