DR. CASEY MICHELLE PETERSON (O.D.) – Optometrist, NPI 1033585161

DR. CASEY MICHELLE PETERSON (O.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2016029774 (MO). The NPI Number for DR. CASEY MICHELLE PETERSON (O.D.) is 1033585161

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASEY MICHELLE PETERSON (O.D.)
NPI
1033585161
Phone
(314) 516-5131
Address
1 UNIVERSITY BLVD
Enumeration Date
12 August 2015
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
3145165016
Graduation Year
2015 (11 years ago)
PAC ID
3870802242
Group Practice PAC ID
6800704560
Professional Enrollment ID
I20160825000425
Address ID
MO631083204SA3940XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

863 OPTOMETRY in MO

Provider Addresses for DR. CASEY MICHELLE PETERSON (O.D.)

  • 1 UNIVERSITY BLVD

    PATIENT CARE CENTER

    SAINT LOUIS, MO 631214400

    Phone: (314) 516-5131

    Fax: (314) 516-5507

    Type: Mailing

  • 7840 NATURAL BRIDGE BLVD

    1 UNIVERSITY BLVD

    SAINT LOUIS, MO 631214617

    Phone: (314) 516-5131

    Fax: (314) 516-5507

    Type: Location

  • 601 JAMES R THOMPSON BLVD

    BLDG D STE 2030

    EAST ST LOUIS, IL 622011129

    Phone: (618) 274-0169

    Fax: (618) 274-0781

    Type: Location

  • 3940 Lindell Blvd

    Saint Louis, MO 631083204

    Phone: (314) 516-5016

    Fax: (314) 535-4741

    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 $362.

Total Amount is formed as General ($362) + Research ($0) + Ownership ($0) = $362.

Last reported payment date: 2024-02-02 • Largest payer in this snapshot: ABBVIE INC. ($125).

Total Amount

$362

General + Research + Ownership

Payments

7

Total payment records

General Amount

$362

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-02

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-08-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160825000425IOptometryMOTBD
I20160830000740IOptometryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63121)

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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: 6800704560View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
-MO
-MO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO

Reviews

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Frequently asked questions

Does DR. CASEY MICHELLE PETERSON (O.D.) have a public NPI I can cite?
Public records show DR. CASEY MICHELLE PETERSON (O.D.) under NPI 1033585161.
Should I treat DR. CASEY MICHELLE PETERSON (O.D.) as an active provider?
Patients and plans typically see DR. CASEY MICHELLE PETERSON (O.D.) as active in the national extract.
What services align with DR. CASEY MICHELLE PETERSON (O.D.)'s listing?
DR. CASEY MICHELLE PETERSON (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. CASEY MICHELLE PETERSON (O.D.)?
The directory associates DR. CASEY MICHELLE PETERSON (O.D.) with Saint Louis, Missouri. Check all listed addresses for suites or satellite offices.
Can I export DR. CASEY MICHELLE PETERSON (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.