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BRAYDEN PETERSEN OD
NPI 1932767753
Optometrist in Sandpoint, ID

Active since June 05, 2019PECOS EnrolledAccepts Medicare Assignment
97.62/100
CMS Quality Rating
307 S 1ST AVE, SANDPOINT, ID 83864(208) 263-8501 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2019, Jul 20, 2019, Jun 5, 2019 (3 updates tracked since 2019).

About Brayden Petersen Od NPPES

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

BRAYDEN PETERSEN OD (NPI 1932767753) is an individual optometrist in Sandpoint, Idaho, licensed in Idaho (ODP100472) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Pacific University - College Of Optometry (2019).

NPPES Registry Identity

NPI1932767753
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRAYDEN PETERSENCredential: OD
Location Address307 S 1ST AVESandpoint, ID 83864-1201
Mailing Address307 S 1st AveSandpoint, ID 83864-1201 · (208) 263-8501
Phone(208) 263-8501
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2019
Enumeration DateJune 5, 2019
Last NPPES UpdateAugust 8, 20193 updates tracked since enumeration
✔ NPI 1932767753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in ID · ODP100472✔ Licensed in WA · OD60970822
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.
307 S 1ST AVE, Sandpoint, ID 83864
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11720 N Hamilton StSpokane, WA 99207-2474 · Phone (509) 328-2632
Location 2513 E Hastings Rd Ste CSpokane, WA 99218-1977 · Phone (509) 328-2632

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

Brayden Petersen 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 ID4385971977
PECOS Enrollment IDI20190805002522
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 10

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 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.
580 services549 patients
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.
252 services174 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).
132 services126 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.
128 services128 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.
122 services114 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.
106 services102 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83864 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

97.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.24
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

EYE CLINIC OF SANDPOINT PA
Eyewear Supplier
307 S 1ST AVE
SANDPOINT, ID 83864
Bonner County (208) 263-8501
DR. CHARLES C GEORGE MD
Ophthalmology
307 S 1ST AVE
SANDPOINT, ID 83864
Bonner County (208) 263-8501
EYE CLINIC OF SANDPOINT PA
Ophthalmology
307 S 1ST AVE
SANDPOINT, ID 83864
Bonner County (208) 263-8501
JASON PETERSEN O.D.
Optometrist
307 S 1ST AVE
SANDPOINT, ID 83864
Bonner County (208) 263-8501

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 Brayden Petersen's NPI number?

The NPI number for Brayden Petersen is 1932767753. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Brayden Petersen located?

Brayden Petersen practices at 307 S 1st Ave, Sandpoint, ID 83864. The listed phone number is (208) 263-8501.

What is Brayden Petersen's specialty?

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

Is Brayden Petersen enrolled in Medicare?

Yes. Brayden Petersen 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.

When was this NPI record last updated?

The NPPES record for Brayden Petersen was last updated on August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.