DR. ROBERT J PETERS (OD) – Pediatric Optometrist, NPI 1972553899

DR. ROBERT J PETERS (OD) is a healthcare provider. based in Grand rapids, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 003979 (MI). The NPI Number for DR. ROBERT J PETERS (OD) is 1972553899

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT J PETERS (OD)
NPI
1972553899
Phone
(616) 957-0866
Address
5050 CASCADE RD SE
Enumeration Date
11 May 2006
Last Update Date
1 March 2013

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
6169570866
Graduation Year
1990 (36 years ago)
PAC ID
4789841511
Group Practice PAC ID
3678730645
Professional Enrollment ID
I20120207000474
Address ID
MI495463707GR5050XSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for DR. ROBERT J PETERS (OD)

  • Cascade Road Southeast, Grand Rapids Charter Township, Kent County, Michigan, 49331, United States

    GRAND RAPIDS, MI 495463725

    Phone: (616) 957-0866

    Fax: (616) 957-4102

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-02-07

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
I20120207000474IOptometryMITBD

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 system3129$0
92060Exam to measure eye deviation and range of motion2222$0
99213Established patient office or other outpatient visit, 20-29 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 49546)

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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: 3678730645View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

What federal number belongs to DR. ROBERT J PETERS (OD)?
The federal identifier for DR. ROBERT J PETERS (OD) is NPI 1972553899.
Is DR. ROBERT J PETERS (OD) currently active in the NPI registry?
CMS-published data lists DR. ROBERT J PETERS (OD) as an active registrant.
Can you summarize DR. ROBERT J PETERS (OD)'s specialty in plain language?
Clinically, the directory lists DR. ROBERT J PETERS (OD) with Pediatric Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. ROBERT J PETERS (OD)'s primary listing?
We display Grand Rapids, Michigan because that is what the record indicates for DR. ROBERT J PETERS (OD).
What if Grand Rapids, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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