PETER H KEHOE (OD) – Optometrist, NPI 1164415139

PETER H KEHOE (OD) is a healthcare provider. based in Galesburg, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046007889 (IL). The NPI Number for PETER H KEHOE (OD) is 1164415139

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
PETER H KEHOE (OD)
NPI
1164415139
Phone
(309) 343-1179
Address
35 4L PLZ
Enumeration Date
25 August 2005
Last Update Date
12 August 2011

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
3093431179
Graduation Year
1984 (42 years ago)
PAC ID
4082667407
Group Practice PAC ID
4789606880
Professional Enrollment ID
I20050228000474
Address ID
IL614010000GA4XXXXPLAZ302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for PETER H KEHOE (OD)

  • 35 4L PLZ

    GALESBURG, IL 614014501

    Phone: (309) 343-1179

    Fax: (309) 343-5287

    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 19 Open Payments records for all available years, with a total value of $1,306.

Total Amount is formed as General ($1,306) + Research ($0) + Ownership ($0) = $1,306.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Alcon Vision LLC ($385).

Total Amount

$1,306

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,306

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

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: 2005-02-28

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
I20050228000474IOptometryILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes303176$0
92014Established patient complete exam of visual system289286$0
92250Photography of the retina240230$0
92083Exam of visual field with extended testing12682$0
92133Imaging of optic nerve12282$0
View full utilization report →

Insurance plans in this area (ZIP 61401)

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Provider's Procedures

PETER H KEHOE (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIL92012Eye and medical examination for diagnosis and treatment, established patient229138

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: 4789606880View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

How do I look up PETER H KEHOE (OD) by NPI?
Use NPI 1164415139 when you need to reference PETER H KEHOE (OD) in forms, claims, or directories.
Is PETER H KEHOE (OD) currently active in the NPI registry?
CMS-published data lists PETER H KEHOE (OD) as an active registrant.
Does PETER H KEHOE (OD) list a primary specialty?
If you are matching referrals, note Optometrist for PETER H KEHOE (OD). Clinical services aligned with this taxonomy classification.
What location shows for PETER H KEHOE (OD)?
We surface Galesburg, Illinois for PETER H KEHOE (OD) based on available NPPES addresses.
Is PETER H KEHOE (OD) a real provider?
This page reflects official NPPES data for NPI 1164415139. Always confirm identity and privileges with the practice and licensing boards.

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