PETER C KOHLER M.D.
NPI 1417954066
Ophthalmology in Waterville, ME

Active since June 28, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
325A KENNEDY MEMORIAL DR, WATERVILLE, ME 04901(207) 873-2731(207) 873-1106 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peter C Kohler M.d. NPPES

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

PETER C KOHLER M.D. (NPI 1417954066) is an individual ophthalmology provider in Waterville, Maine, licensed in Maine (013307) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (1988).

NPPES Registry Identity

NPI1417954066
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePETER C KOHLERCredential: M.D.
Location Address325A KENNEDY MEMORIAL DRWaterville, ME 04901-4517
Mailing Address325a Kennedy Memorial DrWaterville, ME 04901-4517 · (207) 873-2731 · Fax (207) 873-1106
Fax(207) 873-1106
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1988
Enumeration DateJune 28, 2005
Last NPPES UpdateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
NPI 1417954066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in ME · 013307
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

325A KENNEDY MEMORIAL DR, Waterville, ME 04901

Other Identifiers 6

Other2590268ME · Aetna
Other042734ME · Blue Shield
Other180043475ME · Rr Medicard
Other691518002ME · Cigna
Medicaid290130099ME
Other010543747ME · Commercial

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

Peter C Kohler M.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 ID1254373491
PECOS Enrollment IDI20050628001121
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 13

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
728 services75 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
327 services229 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
276 services154 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
176 services170 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
135 services135 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.
118 services113 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04901 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost92.32

Other Providers at the Same Location NPPES 8

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

Ophthalmology
325A KENNEDY MEMORIAL DR
WATERVILLE, ME 04901
Nurse Anesthetist, Certified Registered
325A KENNEDY MEMORIAL DR
WATERVILLE, ME 04901
Ophthalmology
325A KENNEDY MEMORIAL DR
WATERVILLE, ME 04901
Ophthalmology
325A KENNEDY MEMORIAL DR
WATERVILLE, ME 04901
Ophthalmology
325A KENNEDY MEMORIAL DR
WATERVILLE, ME 04901
Ophthalmology
325A KENNEDY MEMORIAL DR
WATERVILLE, ME 04901
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
325A KENNEDY MEMORIAL DR
WATERVILLE, ME 04901
Clinic/Center (Ambulatory Surgical)
325A KENNEDY MEMORIAL DR
WATERVILLE, ME 04901

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 Kohler's NPI number?

The NPI number for Peter Kohler is 1417954066. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Peter Kohler located?

Peter Kohler practices at 325A Kennedy Memorial Dr, Waterville, ME 04901. The listed phone number is (207) 873-2731.

What is Peter Kohler's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Peter Kohler enrolled in Medicare?

Yes. Peter Kohler 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 Peter Kohler accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Peter Kohler 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 Kohler was last updated on January 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.