JACOB CHRISTOPHER PETERSON (M.D.) – Family Medicine Physician, NPI 1679954028
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JACOB CHRISTOPHER PETERSON (M.D.)
42 ND AND EMILE ST
OMAHA, NE 681980001
Phone: (402) 559-4000
Type: Mailing
983075 NEBRASKA MEDICAL CTR
UNMC DEPT. OF FAMILY MEDICINE
OMAHA, NE 681983075
Phone: (402) 559-5279
Type: Location
516 W 14TH AVE STE 100
HOLDREGE, NE 689491215
Phone: (308) 995-4431
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $301.
Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Sonex Health, Inc. ($146).
Total Amount
$301
General + Research + Ownership
Payments
4
Total payment records
General Amount
$301
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sonex Health, Inc. | $146 |
| AstraZeneca Pharmaceuticals LP | $139 |
| Amgen Inc. | $16 |
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: 2018-05-07
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 |
|---|---|---|---|---|
| I20180507000732 | I | Family Practice | NE | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68198)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Family Practice | NE | |
| Family Practice | KS | |
| Physician Assistant | NE | |
| Family Practice | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Family Practice | NE | |
| Family Practice | NE |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.