DR. JESSICA PETERSON (D.O.) – Psychiatry Physician, NPI 1871906107
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
819 PSYCHIATRY in MO
Provider Addresses for DR. JESSICA PETERSON (D.O.)
2670 RETRIEVER DR
CLERMONT, FL 347115488
Phone: (954) 257-4158
Type: Mailing
211 NE 54TH ST STE 201
KANSAS CITY, MO 641184330
Phone: (816) 453-6777
Fax: (816) 454-3601
Type: Location
600 E DIXIE AVE
LEESBURG, FL 347485925
Phone: (352) 323-3270
Fax: (352) 323-3179
Type: Mailing
700 N PALMETTO ST
LEESBURG, FL 347484419
Phone: (352) 323-3270
Fax: (352) 323-3179
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: 2025-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 10 Medicare enrollment records; no due dates published yet.
Enrollment records
10
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 |
|---|---|---|---|---|
| I20181211002607 | I | Psychiatry | FL | TBD |
| I20191119000878 | I | Psychiatry | HI | TBD |
| I20231031001104 | I | Psychiatry | MO | TBD |
| I20240406000166 | I | Psychiatry | NY | TBD |
| I20241213001463 | I | Psychiatry | DC | TBD |
| I20250915002213 | I | Psychiatry | PA | TBD |
| I20250918003524 | I | Psychiatry | OR | TBD |
| I20251201000529 | I | Neuropsychiatry | WA | TBD |
| I20251205004081 | I | Neuropsychiatry | AZ | TBD |
| I20251212003321 | I | Psychiatry | KY | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 67 | 16 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 63 | 62 | $0 |
| G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | 15 | 14 | $0 |
Insurance plans in this area (ZIP 34711)
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