Jake Allen Peterson, DDS, MD
NPI 1043657364ActiveIndividual· Dentist, Oral and Maxillofacial Surgery· Bend, OR
Opted out of Medicare from September 2022 to September 2028. Dentist, Oral and Maxillofacial Surgery (DDS, MD) in Bend, Oregon, licensed in ID and WA, with an NPI issued in May 2013. Part D covered 587 prescriptions written in 2024, 100% of them generic. Straumann USA LLC was the largest of 2 companies reporting payments in 2025, $104.61 in all, mostly food and beverage.
Overview
| NPI | 1043657364 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS, MD |
| Sole proprietor | Yes |
| NPI issued | May 28, 2013 |
| Last updated in NPPES | Mar 1, 2022 |
| Certified by provider | Mar 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | D-5107-OS | ID |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | M-15171 | ID |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | DE60941667 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Sep 13, 2022 – Sep 13, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 587 · 592 30-day fills |
|---|---|
| Patients | 271 |
| Total drug cost | $2,975 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$104.61 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Straumann USA LLC | $81.02 | 1 |
| Henry Schein, Inc. | $23.59 | 1 |
What the 2025 payments were for
- Food and Beverage$104.61 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, Oral and Maxillofacial Surgery providers in Bend
- 1023272119
- 1801483318
- 1619423787
- 1598021578
- 1588633515
- 1245440676
- 1992810154
- 1750780441
- 1689932063
All Dentist, Oral and Maxillofacial Surgery providers in Oregon →