JEFFREY PETERSON (MD) – Ophthalmology Physician, NPI 1578889945

JEFFREY PETERSON (MD) is a healthcare provider. based in Honolulu, Hawaii. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. MD-18341 (HI). The NPI Number for JEFFREY PETERSON (MD) is 1578889945

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY PETERSON (MD)
NPI
1578889945
Phone
(808) 591-9911
Address
PO BOX 31000
Enumeration Date
10 April 2010
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
8085919911
Graduation Year
2015 (11 years ago)
PAC ID
7719289164
Group Practice PAC ID
4183515265
Professional Enrollment ID
I20151231001682
Address ID
HI968143139HO615XXSTXX308
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

113 OPHTHALMOLOGY in HI

Provider Addresses for JEFFREY PETERSON (MD)

  • PO BOX 31000

    HONOLULU, HI 968498295

    Phone: (808) 591-9911

    Fax: (808) 591-9909

    Type: Mailing

  • 615 PIIKOI ST STE 205

    HONOLULU, HI 968143139

    Phone: (808) 591-9911

    Fax: (808) 591-9909

    Type: Location

  • 24 Kiopaa Pl

    Makawao, HI 967688295

    Phone: (808) 591-9911

    Fax: (808) 591-9909

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $18,165.

Total Amount is formed as General ($18,165) + Research ($0) + Ownership ($0) = $18,165.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Sight Sciences, Inc. ($8,706).

Total Amount

$18,165

General + Research + Ownership

Payments

88

Total payment records

General Amount

$18,165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-12-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151231001682IOphthalmologyHITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92012Established patient problem focused exam of visual system812466$0
92136Measurement of corneal curvature and depth of eye518164$0
92133Imaging of optic nerve465406$0
92250Photography of the retina440424$0
92014Established patient complete exam of visual system380368$0
View full utilization report →

Insurance plans in this area (ZIP 96849)

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Provider's Procedures

JEFFREY PETERSON (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYHI92083Measurement of field of vision during daylight conditions209192
OPHTHALMOLOGYHI92134Diagnostic imaging of retina6356

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183515265View full group profile
NameSpecialtyState
O P T O M E T R YHI
O P H T H A L M O L O G YHI
-HI
O P H T H A L M O L O G YHI

Reviews

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Frequently asked questions

How is JEFFREY PETERSON (MD) identified in CMS data?
CMS-hosted NPPES data lists JEFFREY PETERSON (MD) with NPI 1578889945.
Can I rely on JEFFREY PETERSON (MD) being an active provider?
As of the registry snapshot, JEFFREY PETERSON (MD) is marked active.
What is JEFFREY PETERSON (MD) best known for clinically?
Directory data describes JEFFREY PETERSON (MD) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JEFFREY PETERSON (MD)?
JEFFREY PETERSON (MD)'s geographic hint is Honolulu, Hawaii in our summary view.
Why does JEFFREY PETERSON (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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