JON D PETERS M.D. NPI 1689776106

NPI Information

  • NPI: 1689776106
  • Provider Name: JON D PETERS, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12007 SUNRISE VALLEY DR
    SUITE 120
    RESTON, VA
    ZIP 20191
  • Phone: (301) 624-5731

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NPI Details

Jon D Peters, M.D. is a specialist in Reston, VA with 46 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jon D Peters, M.D. NPI is 1689776106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1980

The provider's business location address is:

12007 SUNRISE VALLEY DR
SUITE 120
RESTON, VA
ZIP 20191-479
Phone: (301) 624-5731

The NPI 1689776106 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Complete ultrasound of within the brain blood flow (HCPCS:93886)
  • Measurement of brain wave activity (eeg), digital analysis (HCPCS:95957)
  • Measurement of brain wave activity (eeg), awake and asleep (HCPCS:95819)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Measurement of brain wave activity (eeg), awake and drowsy (HCPCS:95816)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Needle measurement of electrical activity in arm or leg muscles, limited study (HCPCS:95885)
  • Measurement of brain wave activity (eeg), 12-26 hours (HCPCS:95708)
  • Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS:95886)
  • Nerve conduction, 3-4 studies (HCPCS:95908)
  • Measurement of brain wave activity (eeg), continuous (HCPCS:95700)
  • Measurement of brain wave activity (eeg), 37-60 hours with health care professional review and report (HCPCS:95721)

The enumeration date for this NPI number is 9/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistVIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1505094OTHERVIRGINIANCPPO
21505687000OTHERDISTRICT OF COLUMBIAUS DOL WC
345710002OTHERDISTRICT OF COLUMBIACF DC
446389OTHERVIRGINIAALLIANCE
5C61842MEDICARE UPINVIRGINIA
60500039OTHERVIRGINIAONITED HEALTHCARE
7223963OTHERVIRGINIAANTHEM BC BS
8283598OTHERVIRGINIAAMERIGROUP
953508702OTHERMARYLANDCF MD REGIONAL RENDERING
1046389OTHERVIRGINIAMAMSI
114054667OTHERVIRGINIAAETNA
12000D73N92MEDICARE ID-TYPE UNSPECIFIEDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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