DR. JON F PEDERSON (OD) – Corneal and Contact Management Optometrist, NPI 1407842628
Corneal and Contact Management Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
851 OPTOMETRY in CO
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Provider Addresses for DR. JON F PEDERSON (OD)
1025, Milwaukee Street, Denver, Colorado, 80206, United States
DENVER, CO 802063337
Phone: (720) 941-8450
Type: Mailing
2275, East Arapahoe Road, Centennial, Arapahoe County, Colorado, 80122, United States
SUITE 105
CENTENNIAL, CO 801221500
Phone: (303) 798-5533
Type: Location
1410 S COLUMBINE ST
DENVER, CO 802102419
Phone:
Type: Mailing
6650 S VINE ST STE 160
CENTENNIAL, CO 801212769
Phone: (303) 798-5533
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $211.
Total Amount is formed as General ($211) + Research ($0) + Ownership ($0) = $211.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($148).
Total Amount
$211
General + Research + Ownership
Payments
6
Total payment records
General Amount
$211
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS INC. | $148 |
| Bausch & Lomb Americas Inc. | $40 |
| Alcon Vision LLC | $23 |
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: 2005-06-08
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 |
|---|---|---|---|---|
| I20050608000549 | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 402 | 334 | $0 |
| 92250 | Photography of the retina | 235 | 219 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 182 | 94 | $0 |
| 92012 | Established patient problem focused exam of visual system | 137 | 88 | $0 |
| 92133 | Imaging of optic nerve | 85 | 60 | $0 |
Insurance plans in this area (ZIP 80206)
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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 | 278 | 124 |
| OPTOMETRY | CO | 92083 | Measurement of field of vision during daylight conditions | 103 | 78 |
| OPTOMETRY | CO | 92134 | Diagnostic imaging of retina | 30 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CO |
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