Kenneth A. Peterson, OD
Optometrist · Pismo Beach, CA
Kenneth A. Peterson, OD is an optometrist with a practice address in Pismo Beach, California, and NPI 1871565788, issued on Feb 3, 2006. Check the license (California 9884T, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kenneth A. Peterson
- Credential
- OD
- Primary taxonomy
- Optometrist 152W00000X
- License number
- 9884T CA
Self-reported in NPPES; status is on the state search - Practice location
- 911 Oak Park Blvd Ste 104, Pismo Beach, CA 93449
- Phone
- (805) 473-9393
- Enumerated
- Feb 3, 2006
- Record last updated
- Feb 6, 2008 (not updated in 18 years: call before relying on the address or phone)
- Fax
- (805) 473-1974
- Medicaid ID
- SD0098840 CA
- Medicare enrollment
- Enrolled (PECOS I20040113000703); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest optometrist records → All 8,308 in California → Look up another NPI →
Verify Kenneth A. Peterson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 9884TCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
73% fewer Medicare Part D claims than the average optometrist in 2024
74 Medicare Part D claims for 36 beneficiaries, against an average of 277 among the 33,128 providers of this specialty who prescribed in Part D. Brand-name drugs were 53% of claims.
Most prescribed
- Latanoprost32 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 0 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $130.84
1 payment: food and beverage; the largest payer was Alcon Vision LLC. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Kenneth A. Peterson among 8,308 optometrist records in California
Kenneth A. Peterson, OD is one of 8,308 optometrist records with a practice address in California. 67% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.
- NPI issued2006 · 6% of these records are older, 66% newer
- In a Medicare fileYes · 67% of these records are
- In the CMS Doctors and Clinicians fileYes · 43% of these records are
- Graduated1998 · median 2008 among the 3,573 with a school on file
- Record last updated2008 · 67% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
5 optometrist records list a practice address in Pismo Beach
They are 5 of the 240 NPPES records with a practice address in Pismo Beach, and 8,308 optometrist records in California.
All 8,308 in California → Every provider in Pismo Beach → Optometrist nationwide →
The 8 optometrist records with the nearest ZIP codes
- Mona Gill, O.D.Pismo Beach, CA 934491477856003
- Michael Jacobs, O.D.Pismo Beach, CA 934491821101684
- Dennis Richardson, O.D.Pismo Beach, CA 934491588931398
- Scott Schachter, O.D.Pismo Beach, CA 934491447230602
- Kody CowellPaso Robles, CA 934461083337489
- Daniel Hile, O.D.Paso Robles, CA 934461902869621
- Lisa Kopper, O.D.Paso Robles, CA 934461508064072
- Karen Kudija, ODPaso Robles, CA 934461821052176
Common questions
What is Kenneth A. Peterson, OD's NPI number?
Kenneth A. Peterson, OD's National Provider Identifier (NPI) is 1871565788, issued on Feb 3, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kenneth A. Peterson, OD located?
The NPPES record lists a practice address at 911 Oak Park Blvd Ste 104, Pismo Beach, CA, 93449. Phone: (805) 473-9393. Providers update this record themselves, so call before visiting.
How can I verify Kenneth A. Peterson, OD's license?
NPPES lists California license number 9884T, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
How much does Kenneth A. Peterson, OD prescribe under Medicare Part D?
In 2024, Kenneth A. Peterson, OD had 74 Medicare Part D claims for 36 beneficiaries; the average among optometrist prescribers was 277. Part D covers Medicare prescriptions only.
What is Kenneth A. Peterson, OD's MIPS final score?
The 2023 MIPS final score is 0 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.