PETER JAY IENATSCH (PA) – Physician Assistant, NPI 1679608038
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
Provider Addresses for PETER JAY IENATSCH (PA)
700 W US Highway 24
Woodland Park, CO 808638975
Phone: (719) 522-1133
Fax: (719) 687-8919
Type: Location
559 VINCENT ST BLDG 959
PETERSON AFB, CO 809141541
Phone: (719) 556-1306
Fax: (719) 556-1226
Type: Mailing
559 Vincent St Bldg 959
Peterson AFB, CO 809141541
Phone: (719) 556-1306
Fax: (719) 556-1226
Type: Location
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (702) 579-3253
Type: Mailing
2610 TENDERFOOT HILL ST
COLORADO SPRINGS, CO 809063981
Phone: (719) 522-1133
Fax: (719) 576-2025
Type: Location
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: 2019-09-10
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 |
|---|---|---|---|---|
| I20190910000277 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 259 | 197 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 123 | 96 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 61 | 61 | $0 |
| 81002 | Urinalysis, manual test | 25 | 23 | $0 |
| G0008 | Administration of influenza virus vaccine | 25 | 25 | $0 |
Insurance plans in this area (ZIP 80863)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | CO | |
| - | CO | |
| - | CO | |
| - | NC | |
| Family Practice | MO | |
| Family Practice | NV | |
| - | CO | |
| - | CO | |
| - | CO |
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