Dr. Kenneth Peterson, OD

NPI: 1871565788
Total Payments
$923.37
2024 Payments
$130.84
Companies
3
Transactions
8
Medicare Patients
3,302
Medicare Billing
$254,121

Payment Breakdown by Category

Food & Beverage$923.37 (100.0%)

Payments by Nature

Nature of Payment Amount Transactions Share
Food and Beverage $923.37 8 100.0%

Top Paying Companies

Company Total Records Latest Year
Alcon Vision LLC $623.33 5 $0 (2024)
Glaukos Corporation $175.99 2 $0 (2023)
Oyster Point Pharma, Inc. $124.05 1 $0 (2022)

Payment History by Year

Year Amount Transactions Top Company
2024 $130.84 1 Alcon Vision LLC ($130.84)
2023 $198.40 2 Alcon Vision LLC ($114.02)
2022 $360.80 3 Alcon Vision LLC ($145.14)
2021 $233.33 2 Alcon Vision LLC ($233.33)

All Payment Transactions

8 individual payment records from CMS Open Payments

Date Company Product Nature Form Amount Type
03/27/2024 Alcon Vision LLC Clareon (Device) Food and Beverage In-kind items and services $130.84 General
Category: Ophthalmology
10/19/2023 Alcon Vision LLC Clareon (Device) Food and Beverage In-kind items and services $114.02 General
Category: Ophthalmology
01/12/2023 Glaukos Corporation Food and Beverage Cash or cash equivalent $84.38 General
08/18/2022 GLAUKOS CORPORATION ISTENT INJECT W (Device) Food and Beverage Cash or cash equivalent $91.61 General
Category: GLAUCOMA
08/11/2022 Oyster Point Pharma, Inc. TYRVAYA (Drug) Food and Beverage In-kind items and services $124.05 General
Category: DRY EYE
06/09/2022 Alcon Vision LLC AcrySof IQ PanOptix UV IOL (Device) Food and Beverage In-kind items and services $145.14 General
Category: Ophthalmology
11/10/2021 Alcon Vision LLC AcrySof IQ PanOptix (Device) Food and Beverage In-kind items and services $126.62 General
Category: Ophthalmology
06/10/2021 Alcon Vision LLC AcrySof IQ VIVITY IOL (Device) Food and Beverage In-kind items and services $106.71 General
Category: Ophthalmology

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 11 1,058 1,217 $154,475 $69,761
2022 10 801 909 $137,035 $60,560
2021 8 677 783 $124,920 $60,902
2020 13 766 866 $129,875 $62,898
Total Patients
3,302
Total Services
3,775
Medicare Billing
$254,121
Procedure Codes
43

All Medicare Procedures & Services

43 procedure records from CMS Medicare Utilization — Page 1 of 2

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
92014 Established patient complete exam of visual system Office 2023 333 334 $51,800 $29,838 57.6%
92012 Established patient problem focused exam of visual system Office 2023 145 195 $23,400 $12,612 53.9%
92250 Photography of the retina Office 2023 370 428 $42,800 $10,895 25.5%
92004 New patient complete exam of visual system Office 2023 69 69 $12,765 $7,539 59.1%
99212 Established patient office or other outpatient visit, 10-19 minutes Office 2023 38 62 $3,100 $2,295 74.0%
66984 Removal of cataract with insertion of prosthetic lens Office 2023 16 24 $11,520 $2,129 18.5%
92083 Exam of visual field with extended testing Office 2023 30 40 $4,600 $1,977 43.0%
92100 Multiple measurements of eye fluid pressure over an extended time period Office 2023 19 19 $1,900 $1,245 65.5%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 13 14 $1,120 $878.08 78.4%
67820 Removal of eyelashes using forceps Office 2023 13 20 $1,050 $282.59 26.9%
76514 Ultrasound scan of cornea to determine thickness Office 2023 12 12 $420.00 $71.02 16.9%
92014 Established patient complete exam of visual system Office 2022 338 347 $53,785 $29,237 54.4%
92012 Established patient problem focused exam of visual system Office 2022 145 191 $22,920 $12,211 53.3%
92004 New patient complete exam of visual system Office 2022 68 68 $12,580 $6,743 53.6%
66984 Removal of cataract with insertion of prosthetic lens Office 2022 33 54 $25,920 $4,805 18.5%
92250 Photography of the retina Office 2022 144 152 $15,200 $3,935 25.9%
99212 Established patient office or other outpatient visit, 10-19 minutes Office 2022 20 35 $1,750 $1,262 72.1%
92083 Exam of visual field with extended testing Office 2022 20 26 $2,990 $1,249 41.8%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2022 11 14 $1,120 $880.64 78.6%
92285 Photography of content of eyes Office 2022 11 11 $385.00 $159.12 41.3%
76514 Ultrasound scan of cornea to determine thickness Office 2022 11 11 $385.00 $80.39 20.9%
92014 Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits Office 2021 264 289 $44,795 $26,799 59.8%
92004 Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits Office 2021 115 115 $21,275 $13,047 61.3%
92012 Eye and medical examination for diagnosis and treatment, established patient Office 2021 115 157 $18,840 $10,813 57.4%
66984 Removal of cataract with insertion of lens, simple Office 2021 28 48 $23,040 $4,186 18.2%

About Dr. Kenneth Peterson, OD

Dr. Kenneth Peterson, OD is a Optometrist healthcare provider based in Pismo Beach, California. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 02/03/2006. The National Provider Identifier (NPI) number assigned to this provider is 1871565788.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Kenneth Peterson, OD has received a total of $923.37 in payments from pharmaceutical and medical device companies, with $130.84 received in 2024. These payments were reported across 8 transactions from 3 companies. The most common payment nature is "Food and Beverage" ($923.37).

As a Medicare-enrolled provider, Peterson has provided services to 3,302 Medicare beneficiaries, totaling 3,775 services with total Medicare billing of $254,121. Data is available for 4 years (2020–2023), covering 43 distinct procedure/service records.

Practice Information

  • Specialty Optometrist
  • Location Pismo Beach, CA
  • Active Since 02/03/2006
  • Last Updated 02/06/2008
  • Taxonomy Code 152W00000X
  • Entity Type Individual
  • Practice Solo Practitioner
  • NPI Number 1871565788

Products in Payments

  • Clareon (Device) $244.86
  • AcrySof IQ PanOptix UV IOL (Device) $145.14
  • AcrySof IQ PanOptix (Device) $126.62
  • TYRVAYA (Drug) $124.05
  • AcrySof IQ VIVITY IOL (Device) $106.71
  • ISTENT INJECT W (Device) $91.61

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

Optometrist Doctors in Pismo Beach