DR. ENRIQUE PERALTA – Ophthalmology Physician, NPI 1346237534
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
958 OPHTHALMOLOGY in IL
Provider Addresses for DR. ENRIQUE PERALTA
12 Professional Park Dr
Maryville, IL 620625672
Phone: (618) 288-7266
Fax: (618) 277-4917
Type: Location
2421 Corporate Ctr
Granite City, IL 620404148
Phone: (618) 931-6980
Fax: (618) 277-4917
Type: Location
1310 Dadrian Prof Park
Godfrey, IL 620351685
Phone: (618) 433-5005
Fax: (618) 277-4917
Type: Location
2121 S State Route 157
Edwardsville, IL 620253607
Phone: (618) 277-1130
Fax: (618) 277-4917
Type: Location
408 W 2nd St
Centralia, IL 628013402
Phone: (618) 532-5531
Type: Location
3000 Broadway St
Mount Vernon, IL 628642340
Phone: (618) 242-4141
Fax: (618) 277-4917
Type: Location
1066 Executive Parkway Dr Ste 200
Saint Louis, MO 631416340
Phone: (314) 394-3201
Fax: (314) 394-3253
Type: Location
4900 W Main St
Belleville, IL 622264725
Phone: (618) 235-2400
Fax: (618) 277-4917
Type: Location
11710, Old Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
SUITE 102
SAINT LOUIS, MO 631417076
Phone: (314) 569-2020
Fax: (314) 569-1596
Type: Location
3990 N ILLINOIS ST
SWANSEA, IL 622261919
Phone: (618) 277-1130
Fax: (618) 277-4917
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $1,780.
Total Amount is formed as General ($1,780) + Research ($0) + Ownership ($0) = $1,780.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Genentech USA, Inc. ($475).
Total Amount
$1,780
General + Research + Ownership
Payments
50
Total payment records
General Amount
$1,780
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $475 |
| Alimera Sciences, Inc. | $338 |
| ABBVIE INC. | $263 |
| Astellas Pharma US Inc | $234 |
| Apellis Pharmaceuticals, Inc. | $197 |
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: 2004-12-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20041108000009 | I | Ophthalmology | MO | TBD |
| I20041214000872 | I | Ophthalmology | IL | 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 |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 4,620 | 14 | $0 |
| 92134 | Imaging of retina | 1,120 | 420 | $0 |
| 67028 | Injection of drug into eye | 704 | 214 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 480 | 58 | $0 |
| J9035 | Injection, bevacizumab, 10 mg | 427 | 142 | $0 |
Insurance plans in this area (ZIP 62062)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | MO | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 525 | 252 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | IL |
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