DR. ROGER LESLIE PETERSEN OD
NPI 1679515787
Optometrist in Higginsville, MO

Q: What is Roger Petersen's NPI number?

The NPI number for Roger Petersen is 1679515787. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Roger 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 Roger Petersen was last updated on October 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 June 12, 2006PECOS Enrolled

1817 MAIN ST, HIGGINSVILLE, MO 64037(660) 584-2956(660) 584-3956 Get Directions Write a Review

NPPES record last updated: October 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Roger Leslie Petersen Od NPPES

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

DR. ROGER LESLIE PETERSEN OD (NPI 1679515787) is an individual optometrist in Higginsville, Missouri, licensed in Missouri (TO2272) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679515787

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. ROGER LESLIE PETERSENCredential: OD

Location Address1817 MAIN STHigginsville, MO 64037-1524

Mailing Address1817 Main StHigginsville, MO 64037-1524 · (660) 584-2956 · Fax (660) 584-3956

Phone(660) 584-2956

Fax(660) 584-3956

Sole ProprietorYes

Enumeration DateJune 12, 2006

Last NPPES UpdateOctober 29, 2016

✔ NPI 1679515787 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 MO · TO2272

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.

1817 MAIN ST, Higginsville, MO 64037

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Other Identifiers 2

Medicare UPINT42497

Medicare ID-Type Unspecified0001966MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 (PECOS)

Dr. Roger Leslie Petersen Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64037 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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 Roger Petersen's NPI number?

The NPI number for Roger Petersen is 1679515787. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Roger Petersen located?

Roger Petersen practices at 1817 Main St, Higginsville, MO 64037. The listed phone number is (660) 584-2956.

What is Roger Petersen's specialty?

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

Is Roger Petersen enrolled in Medicare?

Yes. Roger Petersen is registered in the Medicare PECOS enrollment system.

What insurance does Roger Petersen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Roger 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 Roger Petersen was last updated on October 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.