DR. CHAD D PETERSON (O.D.) – Corneal and Contact Management Optometrist, NPI 1114951746

DR. CHAD D PETERSON (O.D.) is a healthcare provider. based in Cedar rapids, Iowa. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 02103 (IA). The NPI Number for DR. CHAD D PETERSON (O.D.) is 1114951746

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHAD D PETERSON (O.D.)
NPI
1114951746
Phone
(319) 310-3310
Address
BLAIRS FERRY RD. NE
Enumeration Date
10 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
3198322020
Graduation Year
1998 (28 years ago)
PAC ID
2163487018
Professional Enrollment ID
I20041119001012
Address ID
IA524021805CE2805XNEXX500
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

503 OPTOMETRY in IA

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Provider Addresses for DR. CHAD D PETERSON (O.D.)

  • Blairs Ferry Road Northeast, Louisa, Cedar Rapids, Linn County, Iowa, 52233, United States

    CEDAR RAPIDS, IA 52402

    Phone: (319) 310-3310

    Type: Location

  • 4606, Chestnut Ridge Court Northeast, Woodborough, Cedar Rapids, Linn County, Iowa, 52411, United States

    CEDAR RAPIDS, IA 524117613

    Phone: (319) 393-3310

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $76.

Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.

Last reported payment date: 2024-10-05 • Largest payer in this snapshot: Alcon Vision LLC ($59).

Total Amount

$76

General + Research + Ownership

Payments

5

Total payment records

General Amount

$76

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-05

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2004-11-19

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
I20041119001012IOptometryIATBD

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 system156150$0
92004New patient complete exam of visual system8282$0
92250Photography of the retina6059$0
99204New patient office or other outpatient visit, 45-59 minutes4746$0
99214Established patient office or other outpatient visit, 30-39 minutes2524$0
View full utilization report →

Insurance plans in this area (ZIP 52402)

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Reviews

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Frequently asked questions

Is there an official ID for DR. CHAD D PETERSON (O.D.) in U.S. healthcare records?
The official identifier for DR. CHAD D PETERSON (O.D.) is NPI 1114951746.
Is there an active status for DR. CHAD D PETERSON (O.D.)?
For scheduling context, DR. CHAD D PETERSON (O.D.) is shown as active in the registry.
How would a patient describe DR. CHAD D PETERSON (O.D.)'s focus?
For DR. CHAD D PETERSON (O.D.), the primary taxonomy reads as Corneal and Contact Management Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. CHAD D PETERSON (O.D.) located near Cedar Rapids?
DR. CHAD D PETERSON (O.D.) currently maps to Cedar Rapids, Iowa in this extract.
When was this NPI issued?
Enumeration for DR. CHAD D PETERSON (O.D.) is noted as July 10, 2006 where the registry provides it.

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