PETER C. JEPPSON (MD) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1487879987
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
261 OBSTETRICS/GYNECOLOGY in NM
Provider Addresses for PETER C. JEPPSON (MD)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 871062719
Phone: (505) 272-6380
Fax: (505) 272-1336
Type: Mailing
933 BRADBURY DR SE
SUIET 2222
ALBUQUERQUE, NM 871064374
Phone: (505) 272-3120
Fax: (505) 272-8060
Type: Location
800 BRADBURY DR SE STE 116
ALBUQUERQUE, NM 871064310
Phone:
Type: Mailing
4344 E PRESIDIO ST
MESA, AZ 852151143
Phone: (480) 834-5111
Fax: (480) 834-5222
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $1,504.
Total Amount is formed as General ($1,504) + Research ($0) + Ownership ($0) = $1,504.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boston Scientific Corporation ($425).
Total Amount
$1,504
General + Research + Ownership
Payments
66
Total payment records
General Amount
$1,504
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
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $425 |
| Caldera Medical, Inc | $267 |
| COLOPLAST CORP | $265 |
| BLUEWIND MEDICAL | $87 |
| Medtronic, Inc. | $69 |
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: 2022-05-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20130830000438 | I | Obstetrics/Gynecology | NM | TBD |
| I20220516001175 | I | Obstetrics/Gynecology | AZ | 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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 2,000 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 180 | 114 | $0 |
| 81002 | Urinalysis, manual test | 146 | 132 | $0 |
| 51701 | Insertion of temporary bladder tube | 131 | 130 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 122 | 122 | $0 |
Insurance plans in this area (ZIP 87106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Obstetrics/Gynecology, Urology | AZ | |
| Nurse Practitioner | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ME | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | CA |
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