DR. EDWARD ANDREW PETERSON (MD) – Ophthalmology Physician, NPI 1679577324

DR. EDWARD ANDREW PETERSON (MD) is a healthcare provider. based in Chattanooga, Tennessee. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 052293 (GA). The NPI Number for DR. EDWARD ANDREW PETERSON (MD) is 1679577324

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD ANDREW PETERSON (MD)
NPI
1679577324
Phone
(423) 508-7337
Address
7268 JARNIGAN RD
Enumeration Date
10 June 2005
Last Update Date
12 February 2023

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
4235087337205
Graduation Year
1998 (28 years ago)
PAC ID
1153233341
Group Practice PAC ID
6800708504
Professional Enrollment ID
I20031105000357
Address ID
TN374213097CH7268XRDXX301

Contacts

Secure Messaging
epeterson@southeasteye.gwaydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:21State licenses:3Other namesUpdated within 12 months

429 OPHTHALMOLOGY in TN

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Provider Addresses for DR. EDWARD ANDREW PETERSON (MD)

  • 7268, Jarnigan Road, Bella Vista Acres, Chattanooga, Hamilton County, Tennessee, 37421, United States

    SUITE 200

    CHATTANOOGA, TN 374213097

    Phone: (423) 508-7337

    Fax: (423) 508-7338

    Type: Location

  • 341 COOL SPRINGS BLVD.

    STE. 400

    FRANKLIN, TN 37067

    Phone: (423) 508-7337

    Fax: (423) 508-7338

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $342.

Total Amount is formed as General ($342) + Research ($0) + Ownership ($0) = $342.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($98).

Total Amount

$342

General + Research + Ownership

Payments

11

Total payment records

General Amount

$342

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2003-11-05

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
I20031105000357IOphthalmologyTNTBD

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
66984Removal of cataract with insertion of prosthetic lens534301$0
92136Measurement of corneal curvature and depth of eye449291$0
66821Removal of recurring cataract in lens capsule using a laser7855$0
66982Complex removal of cataract with insertion of prosthetic lens4432$0
92060Exam to measure eye deviation and range of motion1918$0
View full utilization report →

Insurance plans in this area (ZIP 37421)

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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: 6800708504View full group profile
NameSpecialtyState
O P T O M E T R YTN
O P T O M E T R YTN
O P H T H A L M O L O G YTN
O P T O M E T R YTN
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YTN
O P T O M E T R YTN
Ophthalmology, Plastic And Reconstructive SurgeryTN
O P H T H A L M O L O G YAL
-TN

Reviews

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Frequently asked questions

Does DR. EDWARD ANDREW PETERSON (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. EDWARD ANDREW PETERSON (MD) uses 1679577324.
Does CMS list DR. EDWARD ANDREW PETERSON (MD) as active?
Yes — DR. EDWARD ANDREW PETERSON (MD) is active in the NPI listing used on this page.
What is DR. EDWARD ANDREW PETERSON (MD)'s specialty?
The listing groups DR. EDWARD ANDREW PETERSON (MD) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. EDWARD ANDREW PETERSON (MD)?
DR. EDWARD ANDREW PETERSON (MD)'s geographic hint is Chattanooga, Tennessee in our summary view.
Is the information about DR. EDWARD ANDREW PETERSON (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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