DR. KRISTEN KATHLEEN PETERSON (OD) – Optometrist, NPI 1922577469
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,116 OPTOMETRY in MA
Provider Addresses for DR. KRISTEN KATHLEEN PETERSON (OD)
10 Lincoln Sq
Worcester, MA 016081135
Phone: (508) 373-5830
Fax: (508) 519-5512
Type: Location
591, Lincoln Street, Worcester, Worcester County, Massachusetts, 01653, United States
WORCESTER, MA 016051932
Phone: (508) 853-2020
Type: Mailing
8614 WESTWOOD CENTER DR FL 9
VIENNA, VA 221822442
Phone: (703) 847-8899
Type: Mailing
135 MAIN ST STE 5
STURBRIDGE, MA 015661569
Phone: (508) 347-7309
Fax: (508) 347-7451
Type: Location
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 $306.
Total Amount is formed as General ($306) + Research ($0) + Ownership ($0) = $306.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Alcon Vision LLC ($120).
Total Amount
$306
General + Research + Ownership
Payments
7
Total payment records
General Amount
$306
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $120 |
| CooperVision Inc. | $114 |
| Sun Pharmaceutical Industries Inc. | $50 |
| Johnson & Johnson Vision Care, Inc. | $22 |
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: 2019-01-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190130001133 | I | Optometry | MA | 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 |
|---|---|---|---|---|
| 92250 | Photography of the retina | 58 | 53 | $0 |
| 92014 | Established patient complete exam of visual system | 38 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 30 | $0 |
| 92004 | New patient complete exam of visual system | 26 | 26 | $0 |
Insurance plans in this area (ZIP 01608)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MA |
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