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PETER PEGOLO OD
NPI 1184733255
Optometrist in West Hartford, CT

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
612 QUAKER LN S, SUITE B, WEST HARTFORD, CT 06110(860) 236-1218(860) 231-9298 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peter Pegolo Od NPPES

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

PETER PEGOLO OD (NPI 1184733255) is an individual optometrist in West Hartford, Connecticut, licensed in Connecticut (CT02448) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1996).

NPPES Registry Identity

NPI1184733255
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePETER PEGOLOCredential: OD
Location Address612 QUAKER LN S, SUITE BWest Hartford, CT 06110-1027
Mailing Address612 Quaker Ln S, Suite BWest Hartford, CT 06110-1027 · (860) 236-1218 · Fax (860) 231-9298
Phone(860) 236-1218
Fax(860) 231-9298
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1996
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 26, 2012
✔ NPI 1184733255 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 CT · CT02448
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.
612 QUAKER LN S, West Hartford, CT 06110
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Other Identifiers 10

Other203912450Vision Service Plan
Other002448Connecticare
Other522108187187Tricare
Other2V5586Health Net
Medicare UPINU66345
Other5094583Aetna
Other090002448CT02Blue Cross Blue Shield
Other1749886Cigna
Other203912450United Health Care
Medicare NSC0410001185CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter Pegolo 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 ID2668470220
PECOS Enrollment IDI20061116000109
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Peter Pegolo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometric Specialty Group Limited Liability Company
1.1 mi
Optometrist
77 S MAIN ST
West Hartford, CT 06107
  • Reassigned Medicare billing, Connecticut enrollment
  • 3 clinicians in this Medicare group
NPI 1184717365 (860) 236-1218
Optometric Specialty Group Of Wethersfield, PLLC
3.5 mi
Optometrist
185 SILAS DEANE HWY
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 4 clinicians in this Medicare group
NPI 1629561428 (860) 296-1700
Optometric Specialty Group Of Simsbury PLLC
10.0 mi
Optometrist
883 HOPMEADOW ST
Simsbury, CT 06070
  • Reassigned Medicare billing, Connecticut enrollment
  • 4 clinicians in this Medicare group
NPI 1457085722 (860) 658-1620

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
120 services116 patients
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.
119 services118 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.
87 services57 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
39 services26 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.
31 services25 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.
25 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06110 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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 Peter Pegolo's NPI number?

The NPI number for Peter Pegolo is 1184733255. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Peter Pegolo located?

Peter Pegolo practices at 612 Quaker Ln S Suite B, West Hartford, CT 06110. The listed phone number is (860) 236-1218.

What is Peter Pegolo's specialty?

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

Is Peter Pegolo enrolled in Medicare?

Yes. Peter Pegolo 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.

Which organizations bill Medicare for Peter Pegolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Pegolo reassigns Medicare benefits to 3 organizations: Optometric Specialty Group Limited Liability Company (West Hartford, CT), Optometric Specialty Group Of Wethersfield, PLLC (Wethersfield, CT) and Optometric Specialty Group Of Simsbury PLLC (Simsbury, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Pegolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Pegolo accept?

Health plans from Providence Health Plan list Peter Pegolo 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 Peter Pegolo was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.