TREVOR PEDEN (OD) – Optometrist, NPI 1336718378

TREVOR PEDEN (OD) is a healthcare provider. based in Somerset, Kentucky. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2246DT (KY). The NPI Number for TREVOR PEDEN (OD) is 1336718378

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
TREVOR PEDEN (OD)
NPI
1336718378
Phone
(606) 679-7461
Address
355 Langdon St
Enumeration Date
23 June 2021
Last Update Date
23 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6068771877114
Graduation Year
2021 (5 years ago)
PAC ID
9739580341
Group Practice PAC ID
5698716132
Professional Enrollment ID
I20210701003837
Address ID
KY407411217LO503XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

Provider Addresses for TREVOR PEDEN (OD)

  • 355 Langdon St

    Somerset, KY 425032792

    Phone: (606) 679-7461

    Type: Location

  • 503 N MAIN ST

    LONDON, KY 407411217

    Phone: (606) 877-1877

    Fax: (606) 877-0082

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $406.

Total Amount is formed as General ($406) + Research ($0) + Ownership ($0) = $406.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($161).

Total Amount

$406

General + Research + Ownership

Payments

13

Total payment records

General Amount

$406

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

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: 2021-07-01

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
I20210701003837IOptometryKYTBD

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 minutes303241$0
92134Imaging of retina10898$0
92014Established patient complete exam of visual system9390$0
92083Exam of visual field with extended testing6256$0
92004New patient complete exam of visual system5353$0
View full utilization report →

Insurance plans in this area (ZIP 42503)

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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: 5698716132View full group profile
NameSpecialtyState
-KY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P H T H A L M O L O G YKY
-KY
-KY
O P H T H A L M O L O G YKY
O P T O M E T R YKY

Reviews

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Frequently asked questions

What identifier follows TREVOR PEDEN (OD) across health systems?
The NPI 1336718378 uniquely identifies TREVOR PEDEN (OD) in U.S. healthcare data.
Is TREVOR PEDEN (OD) currently accepting referrals based on NPI status?
Registry metadata lists TREVOR PEDEN (OD) as active.
What type of care does TREVOR PEDEN (OD) provide?
TREVOR PEDEN (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to TREVOR PEDEN (OD)?
TREVOR PEDEN (OD) shows a connection to Somerset, Kentucky in registry-derived data.
Who maintains TREVOR PEDEN (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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