DR. BALEY PETERSEN O.D.
NPI 1043569858
Optometrist in Mount Pleasant, SC

Q: What is Baley Petersen's NPI number?

The NPI number for Baley Petersen is 1043569858. It was assigned to this individual provider in the NPPES registry on September 7, 2012.

Q: What is Baley Petersen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Baley Petersen was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 07, 2012PECOS EnrolledAccepts Medicare Assignment

966 HOUSTON NORTHCUTT BLVD, SUITE D, MOUNT PLEASANT, SC 29464(843) 881-2492 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Baley Petersen O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BALEY PETERSEN O.D. (NPI 1043569858) is an individual optometrist in Mount Pleasant, South Carolina, licensed in South Carolina (1741) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2012).

NPPES Registry Identity

NPI1043569858

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. BALEY PETERSENCredential: O.D.

Location Address966 HOUSTON NORTHCUTT BLVD, SUITE DMount Pleasant, SC 29464-3487

Mailing Address1481 Center Street Ext Apt 1001Mount Pleasant, SC 29464-4674 · (712) 229-1508

Phone(843) 881-2492

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 2012

Enumeration DateSeptember 7, 2012

Last NPPES UpdateAugust 7, 2013

✔ NPI 1043569858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in SC · 1741

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

966 HOUSTON NORTHCUTT BLVD, Mount Pleasant, SC 29464

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Baley Petersen O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274771431

PECOS Enrollment IDI20130529000484

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

236 services235 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

145 services142 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

75 services60 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

51 services45 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

43 services40 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER WEBER FNP-BC

Nurse Practitioner (Family)

966 HOUSTON NORTHCUTT BLVD, SUITE G
MT PLEASANT, SC 29464

Charleston County (843) 388-6334

DR. JEAN MICHELE SILECCHIA O.D.

Optometrist

966 HOUSTON NORTHCUTT BLVD, SUITE D
MOUNT PLEASANT, SC 29464

Charleston County (843) 881-2492

DR. FURMAN M SMITH O.D.

Optometrist

966 HOUSTON NORTHCUTT BLVD, SUITE D
MT PLEASANT, SC 29464

Charleston County (843) 881-2492

WINNING HEALTH WELLNESS LLC

Family Medicine (Sports Medicine)

966 HOUSTON NORTHCUTT BLVD
MOUNT PLEASANT, SC 29464

Charleston County (843) 471-0375

ARCIS HEALTHCARE, LLC

Family Medicine (Sports Medicine)

966 HOUSTON NORTHCUTT BLVD, SUITE E
MOUNT PLEASANT, SC 29464

Charleston County (843) 471-0375

WHITNEY ANN SMITH ANP, ADULT HEALTH

Nurse Practitioner (Adult Health)

966 HOUSTON NORTHCUTT BLVD, SUITE G
MOUNT PLEASANT, SC 29464

Charleston County (843) 388-6334

F MASON SMITH

Optometrist

966 HOUSTON NORTHCUTT BLVD, SUITE D
MT PLEASANT, SC 29464

Charleston County (843) 881-2492

DR. ELIZABETH WRIGHT FRASER O.D.

Optometrist

966 HOUSTON NORTHCUTT BLVD
MT PLEASANT, SC 29464

Charleston County (843) 881-2492

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baley Petersen's NPI number?

The NPI number for Baley Petersen is 1043569858. It was assigned to this individual provider in the NPPES registry on September 7, 2012.

Where is Baley Petersen located?

Baley Petersen practices at 966 Houston Northcutt Blvd Suite D, Mount Pleasant, SC 29464. The listed phone number is (843) 881-2492.

What is Baley Petersen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Baley Petersen enrolled in Medicare?

Yes. Baley Petersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Baley Petersen accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Baley Petersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Baley Petersen was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.