DR. DOUGLAS J. PETHE (O.D.) – Optometrist, NPI 1265572762
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
851 OPTOMETRY in CO
Provider Addresses for DR. DOUGLAS J. PETHE (O.D.)
3900 E MEXICO AVE STE 102
DENVER, CO 802103941
Phone: (720) 524-1001
Fax: (720) 524-1121
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $906.
Total Amount is formed as General ($906) + Research ($0) + Ownership ($0) = $906.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: RxSight Inc ($487).
Total Amount
$906
General + Research + Ownership
Payments
24
Total payment records
General Amount
$906
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| RxSight Inc | $487 |
| Astellas Pharma US Inc | $121 |
| Bausch & Lomb Americas Inc. | $98 |
| ABBVIE INC. | $74 |
| Johnson & Johnson Vision Care, Inc. | $38 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051104000682 | I | Optometry | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92250 | Photography of the retina | 260 | 254 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 128 | 124 | $0 |
| 92014 | Established patient complete exam of visual system | 88 | 88 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 58 | $0 |
| 92004 | New patient complete exam of visual system | 49 | 49 | $0 |
Insurance plans in this area (ZIP 80210)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | CO | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 188 | 160 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH |
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