DR. MICHAEL R PETERSEN (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1629005160
Retina Specialist (Ophthalmology) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
844 OPHTHALMOLOGY in MI
Provider Addresses for DR. MICHAEL R PETERSEN (MD)
Orchard Hill Place, Novi, Oakland County, Michigan, 48375, United States
NOVI, MI 483755391
Phone: (248) 319-0161
Fax: (248) 319-0170
Type: Mailing
2000 N HURON RIVER DR STE 100
YPSILANTI, MI 48197
Phone: (734) 572-1200
Fax: (734) 572-9760
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $393.
Total Amount is formed as General ($393) + Research ($0) + Ownership ($0) = $393.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Astellas Pharma US Inc ($125).
Total Amount
$393
General + Research + Ownership
Payments
17
Total payment records
General Amount
$393
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-02-15
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 |
|---|---|---|---|---|
| I20100215000735 | I | Ophthalmology | OH | 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 | 3,180 | 14 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 690 | 79 | $0 |
| 92134 | Imaging of retina | 556 | 195 | $0 |
| 67028 | Injection of drug into eye | 469 | 122 | $0 |
| J3590 | Unclassified biologics | 130 | 43 | $0 |
Insurance plans in this area (ZIP 48375)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | OH | 92134 | Diagnostic imaging of retina | 1497 | 571 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | OH | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | OH | |
| - | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | MI | |
| - | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| - | OH |
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