BRADLEY ALAN PELTZER (OD) – Optometrist, NPI 1396776340

BRADLEY ALAN PELTZER (OD) is a healthcare provider. based in Hialeah, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC2646 (FL). The NPI Number for BRADLEY ALAN PELTZER (OD) is 1396776340

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY ALAN PELTZER (OD)
NPI
1396776340
Phone
(305) 556-6946
Address
5952 W 16TH AVE
Enumeration Date
6 July 2006
Last Update Date
9 September 2011

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
8633857070
Graduation Year
1991 (35 years ago)
PAC ID
5092790311
Group Practice PAC ID
3173667110
Professional Enrollment ID
I20040621001999
Address ID
FL338702140SE363XXSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for BRADLEY ALAN PELTZER (OD)

  • 5952, West 16th Avenue, Hialeah, Miami-Dade County, Florida, 33012, United States

    HIALEAH, FL 330126814

    Phone: (305) 556-6946

    Fax: (305) 825-0845

    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 7 Open Payments records for all available years, with a total value of $217.

Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($96).

Total Amount

$217

General + Research + Ownership

Payments

7

Total payment records

General Amount

$217

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-06-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040621001999IOptometryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system497321$0
92250Photography of the retina298295$0
92004New patient complete exam of visual system113113$0
92134Imaging of retina8576$0
92083Exam of visual field with extended testing3029$0
View full utilization report →

Insurance plans in this area (ZIP 33012)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173667110View full group profile
NameSpecialtyState
-FL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YVA

Reviews

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Frequently asked questions

Can I verify BRADLEY ALAN PELTZER (OD) with an NPI only?
You can start verification with NPI 1396776340 for BRADLEY ALAN PELTZER (OD), then check state licensing separately.
Does CMS list BRADLEY ALAN PELTZER (OD) as active?
Yes — BRADLEY ALAN PELTZER (OD) is active in the NPI listing used on this page.
What is BRADLEY ALAN PELTZER (OD)'s primary classification?
Optometrist is the headline specialty for BRADLEY ALAN PELTZER (OD) here. Clinical services aligned with this taxonomy classification.
What address line appears for BRADLEY ALAN PELTZER (OD)?
BRADLEY ALAN PELTZER (OD)'s geographic hint is Hialeah, Florida in our summary view.
Is the information about BRADLEY ALAN PELTZER (OD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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