Jacob Edward Peterson, MD, MBA
NPI 1295196384ActiveIndividual· Internal Medicine, Pulmonary Disease· Norwich, CT
Internal Medicine, Pulmonary Disease (MD, MBA) with Pulmonary Physicians of Norwich PC, practicing in Norwich, Connecticut. Part D covered 34 prescriptions written in 2024, 56% of them generic. Lists William W Backus Hospital as a hospital affiliation.
Overview
| NPI | 1295196384 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD, MBA |
| Sole proprietor | No |
| NPI issued | Mar 16, 2016 |
| Last updated in NPPES | Aug 4, 2026 |
| Certified by provider | Aug 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | 76208 | CT |
| General Practice | 208D00000X | 0101263068 | VA |
| Hospitalist | 208M00000X | 0101263068 | VA |
| Internal Medicine | 207R00000X | 76208 | CT |
| Internal Medicine | 207R00000X | 0101263068 | VA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CT); Practitioner - Hospitalist (VA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 34 · 46 30-day fills |
|---|---|
| Patients | 14 |
| Total drug cost | $5,310 |
| Generic share | 56% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Pulmonary Disease |
Medical group
- Pulmonary Physicians of Norwich PCWaterford, CT · 9 clinicians
Hospital affiliation
- William W Backus HospitalNorwich, CT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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