ANDREW PETERSON OD
NPI 1194608422
Optometrist in Arlington Heights, IL
About Andrew Peterson Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW PETERSON OD (NPI 1194608422) is an individual optometrist in Arlington Heights, Illinois, licensed in Illinois (046012014) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2025).
NPPES Registry Identity
Specialties & Licenses
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
Andrew 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.
Medicare Billing Reassignment
Medicare enrollment records show Andrew Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Arlington Heights, IL 60005
- Reassigned Medicare billing, Illinois enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Andrew Peterson's NPI number?
The NPI number for Andrew Peterson is 1194608422. It was assigned to this individual provider in the NPPES registry on July 25, 2025.
Where is Andrew Peterson located?
Andrew Peterson practices at 1100 W Central Rd Ste 205, Arlington Heights, IL 60005. The listed phone number is (847) 253-4040.
What is Andrew Peterson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Andrew Peterson enrolled in Medicare?
Yes. Andrew 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.
Which organization bills Medicare for Andrew Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Peterson reassigns Medicare benefits to Suburban Associates In Ophthalmology LLC (Arlington Heights, IL). The 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 Andrew Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrew Peterson was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Andrew Peterson, OD · NPI 1194608422
Optometrist provider in Arlington Heights, Illinois. Individual provider, active in the CMS NPPES registry since July 25, 2025.
## Identity
- **NPI:** 1194608422 (Entity type: Individual)
- **Enumerated:** July 25, 2025
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 046012014 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 W CENTRAL RD STE 205, Arlington Heights, IL 60005-2465
- **Phone:** (847) 253-4040
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Suburban Associates In Ophthalmology LLC (NPI 1316032337, Arlington Heights, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2025
## Record status
- **NPPES last updated:** July 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194608422) · Data from the CMS NPPES public registry.