ADAM PETERS (OD) – Optometrist, NPI 1851063952

ADAM PETERS (OD) is a healthcare provider. based in Montevideo, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3754 (MN). The NPI Number for ADAM PETERS (OD) is 1851063952

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
ADAM PETERS (OD)
NPI
1851063952
Phone
(320) 226-1237
Address
5060 40TH AVE SW
Enumeration Date
28 September 2021
Last Update Date
28 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5073455087
Graduation Year
2021 (5 years ago)
PAC ID
6103215116
Group Practice PAC ID
3072410521
Professional Enrollment ID
I20220125000744
Address ID
MN560013518MA120XXSTXX400
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

879 OPTOMETRY in MN

Provider Addresses for ADAM PETERS (OD)

  • 5060 40TH AVE SW

    MONTEVIDEO, MN 562654096

    Phone: (320) 226-1237

    Type: Mailing

  • 1420 E COLLEGE DR

    MARSHALL, MN 562582065

    Phone: (320) 226-1237

    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: 2022-01-25

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
I20220125000744IOptometryMNTBD

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 system120120$0
92004New patient complete exam of visual system2323$0
99212Established patient office or other outpatient visit, 10-19 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 56265)

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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: 3072410521View full group profile
NameSpecialtyState
O P T O M E T R YMN
O P T O M E T R YIA
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

What unique ID ties claims to ADAM PETERS (OD)?
NPI 1851063952 is assigned to ADAM PETERS (OD) under the national enumeration system.
Is ADAM PETERS (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ADAM PETERS (OD) treat or focus on?
Patients typically see ADAM PETERS (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where is ADAM PETERS (OD)'s primary listing?
We display Montevideo, Minnesota because that is what the record indicates for ADAM PETERS (OD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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