Kenneth Peterson, OD
NPI 1871565788 · Optometrist · Pismo Beach, CA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Peterson, OD is a Optometrist provider in Pismo Beach, CA (NPI 1871565788).
Provider details
- NPI number
- 1871565788
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9884T (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,514 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Photography of the Retina92250 | 428 | $39 |
| Established Patient Complete Exam of Visual System92014 | 362 | $133 |
| Established Patient Problem Focused Exam of Visual System92012 | 298 | $95 |
| Imaging of Retina92134 | 154 | $43 |
| New Patient Complete Exam of Visual System92004 | 74 | $157 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 39 | $57 |
| Exam of Visual Field With Extended Testing |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 32 | 15 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$131 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-03
- Last updated
- 2008-02-06
Frequently asked questions
- What is Kenneth Peterson's NPI number?
- Kenneth Peterson's National Provider Identifier (NPI) is 1871565788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Peterson's specialty?
- Kenneth Peterson is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Kenneth Peterson located?
- Kenneth Peterson's practice location on file with NPPES is 911 Oak Park Blvd Ste 104, Pismo Beach, CA 93449-3406.
- What is Kenneth Peterson's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Peterson is (805) 473-9393.
- Does Kenneth Peterson accept Medicare?
- Kenneth Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Peterson's NPI active?
- Yes — Kenneth Peterson's NPI (1871565788) is active in the NPPES registry as of the last update on 2008-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.