DR. BRYNN PETERSON OD
NPI 1164774402
Optometrist in La Crosse, WI

Active since October 10, 2012PECOS EnrolledAccepts Medicare Assignment
4622 MORMON COULEE RD, LA CROSSE, WI 54601(608) 788-9564 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brynn Peterson Od NPPES

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

DR. BRYNN PETERSON OD (NPI 1164774402) is an individual optometrist in La Crosse, Wisconsin, licensed in Wisconsin (3407-35) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Forest Grove, and is a graduate of Pacific University - College Of Optometry (2015).

NPPES Registry Identity

NPI1164774402
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. BRYNN PETERSONCredential: OD
Location Address4622 MORMON COULEE RDLa Crosse, WI 54601
Mailing Address4622 Mormon Coulee RdLa Crosse, WI 54601-8224 · (608) 788-9564 · Fax (608) 788-9562
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2015
Enumeration DateOctober 10, 2012
Last NPPES UpdateJanuary 18, 2019
NPI 1164774402 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 WI · 3407-35
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.
4622 MORMON COULEE RD, La Crosse, WI 54601

Secondary Practice Location 1

Location 12043 College WayForest Grove, OR 97116-1756 · Phone (701) 226-0995

Accepted 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. Brynn Peterson Od 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 ID9830405018
PECOS Enrollment IDI20210706002543
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 4

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
52 services52 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
23 services20 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).
20 services15 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.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 7

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

Pharmacist
4622 MORMON COULEE RD
LA CROSSE, WI 54601
Pharmacist
4622 MORMON COULEE RD
LA CROSSE, WI 54601
Pharmacy (Community/Retail Pharmacy)
4622 MORMON COULEE RD
LA CROSSE, WI 54601
Pharmacist
4622 MORMON COULEE RD
LA CROSSE, WI 54601
Pharmacist
4622 MORMON COULEE RD
LA CROSSE, WI 54601
Pharmacist
4622 MORMON COULEE RD
LA CROSSE, WI 54601
Eyewear Supplier
4622 MORMON COULEE RD
LA CROSSE, WI 54601

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 Brynn Peterson's NPI number?

The NPI number for Brynn Peterson is 1164774402. It was assigned to this individual provider in the NPPES registry on October 10, 2012.

Where is Brynn Peterson located?

Brynn Peterson practices at 4622 Mormon Coulee Rd, La Crosse, WI 54601. The listed phone number is (608) 788-9564.

What is Brynn Peterson's specialty?

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

Is Brynn Peterson enrolled in Medicare?

Yes. Brynn Peterson 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 Brynn Peterson 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 3 other insurers list Brynn Peterson 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 Brynn Peterson was last updated on January 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.