SCOTT PETERSON (D.O.) – Ophthalmology Physician, NPI 1598121808
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
415 OPHTHALMOLOGY in MN
Provider Addresses for SCOTT PETERSON (D.O.)
3777 COON RAPIDS BLVD NW STE 100
COON RAPIDS, MN 554332630
Phone:
Type: Mailing
168 S Howell St
Hillsdale, MI 492422040
Phone: (517) 437-5192
Fax: (517) 437-5194
Type: Location
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: 2019-03-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170605000891 | I | Ophthalmology | MN | TBD |
| I20190301001071 | I | Ophthalmology | WI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,086 | 406 | $0 |
| 92134 | Imaging of retina | 900 | 304 | $0 |
| 67028 | Injection of drug into eye | 625 | 158 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 568 | 56 | $0 |
| J9035 | Injection, bevacizumab, 10 mg | 366 | 95 | $0 |
Insurance plans in this area (ZIP 55433)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| - | WI | |
| - | IA | |
| Physician Assistant | MN | |
| - | MN | |
| Cardiovascular Disease (Cardiology) | MN | |
| Internal Medicine, Pediatric Medicine | MN | |
| - | WI | |
| - | WI | |
| Cardiac Electrophysiology | MN |
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