Jared Peterson
NPI 1053904672 · Ophthalmology Physician · Portland, OR
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jared Peterson is a Ophthalmology Physician provider in Portland, OR (NPI 1053904672).
Provider details
- NPI number
- 1053904672
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 69 | 20 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 36 | 22 |
| Brimonidine Tartrate | 32 | 13 |
| Prednisolone Acetate | 31 | 25 |
| Erythromycin Basebrand: Erythromycin | 22 | 16 |
| Timolol Maleate | 14 | — |
| Netarsudil Mesylat/Latanoprostbrand: Rocklatan | 13 | — |
Practice location
Mailing address
Additional practice locations (1)
- Medical Center BoulevardWinston Salem, NC 27157-0001Phone: (336) 716-3971
Registry dates
- Enumerated
- 2021-02-15
- Last updated
- 2025-04-08
- Certified
- 2025-04-08
Frequently asked questions
- What is Jared Peterson's NPI number?
- Jared Peterson's National Provider Identifier (NPI) is 1053904672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jared Peterson's specialty?
- Jared Peterson is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Jared Peterson located?
- Jared Peterson's practice location on file with NPPES is 1040 Nw 22nd Ave Ste 168, Portland, OR 97210-3036.
- What is Jared Peterson's phone number?
- The practice phone number listed in the NPPES registry for Jared Peterson is (503) 413-7022.
- Does Jared Peterson accept Medicare?
- Jared Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jared Peterson's NPI active?
- Yes — Jared Peterson's NPI (1053904672) is active in the NPPES registry as of the last update on 2025-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.