DR. CARSON COPE PETRASH (MD) – Ophthalmology Physician, NPI 1194221648

DR. CARSON COPE PETRASH (MD) is a healthcare provider. based in San antonio, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. U4600 (TX). The NPI Number for DR. CARSON COPE PETRASH (MD) is 1194221648

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARSON COPE PETRASH (MD)
NPI
1194221648
Phone
(800) 833-5921
Address
21 SPURS LN
Enumeration Date
3 April 2018
Last Update Date
28 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
8008335921
Graduation Year
2018 (8 years ago)
PAC ID
6901216175
Group Practice PAC ID
6103841820
Professional Enrollment ID
I20230613002118
Address ID
TX782401669SA21XXXLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

Provider Addresses for DR. CARSON COPE PETRASH (MD)

  • 21 SPURS LN

    SAN ANTONIO, TX 782401669

    Phone: (800) 833-5921

    Fax: (713) 513-5613

    Type: Location

  • 12631 E 17TH AVE OFC 1

    AURORA, CO 800452527

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $2,649.

Total Amount is formed as General ($2,649) + Research ($0) + Ownership ($0) = $2,649.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Alimera Sciences, Inc. ($787).

Total Amount

$2,649

General + Research + Ownership

Payments

20

Total payment records

General Amount

$2,649

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

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: 2023-06-13

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
I20230613002118IOphthalmologyTXTBD

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
92134Imaging of retina1716$0
92014Established patient complete exam of visual system1615$0
View full utilization report →

Insurance plans in this area (ZIP 78240)

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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: 6103841820View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
Ophthalmology, NeurologyTX
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. CARSON COPE PETRASH (MD)?
DR. CARSON COPE PETRASH (MD) — NPI 1194221648 — is the standard way to identify this listing.
Can I rely on DR. CARSON COPE PETRASH (MD) being an active provider?
As of the registry snapshot, DR. CARSON COPE PETRASH (MD) is marked active.
What is DR. CARSON COPE PETRASH (MD)'s primary classification?
Ophthalmology Physician is the headline specialty for DR. CARSON COPE PETRASH (MD) here. Clinical services aligned with this taxonomy classification.
Where is DR. CARSON COPE PETRASH (MD) based?
DR. CARSON COPE PETRASH (MD) is tied to San Antonio, Texas in the data we show; additional addresses may exist on the full record.
Why does DR. CARSON COPE PETRASH (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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