Individual provider

Jack Peterson, D.O.

Family Medicine Physician Medicare enrolled

Jack Peterson, D.O. is a Family Medicine Physician in Cochranton, PA, registered under NPI 1790717163.

Getting there

The practice address on file is 180 N FRANKLIN ST STE B, Cochranton, PA 16314. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

180 N FRANKLIN ST STE B, Cochranton, PA 16314 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
OS008804L PA Family Medicine Physician primary

This provider holds licence OS008804L issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
2163682113
Enrollment ID
I20120328000644

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family Medicine covers

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1790717163 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 7, 2006
Last updatedJul 6, 2021
StatusActive
Sole proprietorNo
CredentialD.O.
Practice address 180 N FRANKLIN ST STE B
Cochranton, PA 16314
(814) 424-1126
Fax (814) 251-1568
Mailing address 1034 GROVE ST
Meadville, PA 16335
Other identifiers 00163946000003 · Medicaid (PA)
The last update on file is Jul 6, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1790717163 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 9 0 7 1 7 1 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 9 0 5 1 5 1 3

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1790717163?
NPI 1790717163 is the National Provider Identifier assigned to Jack Peterson, D.O. in Cochranton, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
How do I contact Jack Peterson, D.O.?
The phone number on file with NPPES is (814) 424-1126, last updated Jul 6, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jack Peterson, D.O. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1790717163 a valid number?
Yes. 1790717163 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.