DR. PETER LLOYD KOLBAY (O.D.) – Optometrist, NPI 1457414666

DR. PETER LLOYD KOLBAY (O.D.) is a healthcare provider. based in Murray, Utah. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 109787-9934 (UT). The NPI Number for DR. PETER LLOYD KOLBAY (O.D.) is 1457414666

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER LLOYD KOLBAY (O.D.)
NPI
1457414666
Phone
(801) 281-4281
Address
6191 S STATE ST
Enumeration Date
18 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
8019013346
Graduation Year
1979 (47 years ago)
PAC ID
1557407616
Group Practice PAC ID
0042570426
Professional Enrollment ID
I20091005000326
Address ID
UT841077270MU6191XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

312 OPTOMETRY in UT

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Provider Addresses for DR. PETER LLOYD KOLBAY (O.D.)

  • Budget Truck Rental, 6542 S, State Street, Murray, Salt Lake County, Utah, 84107, United States

    SEARS OPTICAL FASHION PLACE MALL

    MURRAY, UT 841077258

    Phone: (801) 281-4281

    Type: Location

  • 4918, Sommet Drive, Bowthorpe, Holladay, Salt Lake County, Utah, 84117, United States

    HOLLADAY, UT 841176353

    Phone: (801) 273-0204

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $246.

Total Amount is formed as General ($246) + Research ($0) + Ownership ($0) = $246.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($246).

Total Amount

$246

General + Research + Ownership

Payments

2

Total payment records

General Amount

$246

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2009-10-05

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
I20091005000326IOptometryUTTBD

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 84107)

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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: 0042570426View full group profile
NameSpecialtyState
O P T O M E T R YUT
O P T O M E T R YUT
O P T O M E T R YUT
O P T O M E T R YNV

Reviews

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Frequently asked questions

What number should I use to identify DR. PETER LLOYD KOLBAY (O.D.) for billing?
Administrative and clinical systems typically use NPI 1457414666 for DR. PETER LLOYD KOLBAY (O.D.).
Quick check: is DR. PETER LLOYD KOLBAY (O.D.) active?
Public NPPES data shows DR. PETER LLOYD KOLBAY (O.D.) with an active NPI status right now.
What does the directory say DR. PETER LLOYD KOLBAY (O.D.) does?
Insurance directories may phrase it differently, but here DR. PETER LLOYD KOLBAY (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. PETER LLOYD KOLBAY (O.D.)?
DR. PETER LLOYD KOLBAY (O.D.) is associated with Murray, Utah in the same public data insurers reference.
Who maintains DR. PETER LLOYD KOLBAY (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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