DR. JONATHAN B PETERSON (MD) – Family Medicine Physician, NPI 1659450005
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
92 GERIATRIC MEDICINE in CO
Provider Addresses for DR. JONATHAN B PETERSON (MD)
11700 W 2nd Pl Ste 450
Lakewood, CO 802281719
Phone: (303) 825-1234
Fax: (720) 321-8121
Type: Location
8500, West Colfax Avenue, Lakewood, Jefferson County, Colorado, 80215, United States
LAKEWOOD, CO 802154011
Phone: (303) 239-9970
Type: Location
500 W 144TH AVE STE 140
WESTMINSTER, CO 800239326
Phone: (303) 430-2640
Fax: (303) 430-2625
Type: Mailing
11535, East Powers Avenue, Englewood, Arapahoe County, Colorado, 80111, United States
ENGLEWOOD, CO 801114140
Phone: (303) 770-4638
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-12-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191203001267 | I | Geriatric Medicine | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 430 | 295 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 300 | 257 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 140 | 140 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 93 | 76 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 66 | 66 | $0 |
Insurance plans in this area (ZIP 80228)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Geriatric Medicine | CO | |
| Internal Medicine, Geriatric Medicine | CO | |
| Geriatric Medicine | CO | |
| Nurse Practitioner | CO | |
| Family Practice | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Internal Medicine, Geriatric Medicine | CO | |
| Geriatric Medicine | CO | |
| Geriatric Medicine | CA |
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