Active NPI 1932767753 Individual Practitioner Male Practitioner

Dr. Brayden Petersen , OD

Optometrist • Sandpoint, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brayden Petersen, OD is a certified Optometrist practicing in Sandpoint, ID. With approximately 7 years of clinical experience since graduating from Pacific University - College Of Optometry in 2019, Dr. Petersen delivers high-quality medical care to the local community at 307 S 1ST AVE.

Dr. Petersen is affiliated with Eye Clinic Of Sandpoint Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

307 S 1st Ave

Sandpoint, ID 838641201

Telephone 2082638501

Associated Practice Facility / Clinic

🏢 Eye Clinic Of Sandpoint Pa Facility NPI 1215945431

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Sandpoint, ID

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -10.1 yrs vs City Avg

City Avg: 17.1 Yrs

State Avg: 21.1 Yrs

Regional Practice Density

12 Specialists

Practicing in Sandpoint, ID (385 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petersen (7 Years) 7 Yrs

Sandpoint Specialty Average (17.1 Years) 17.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	580	549	$206.57	$117.62
92012 Established patient problem focused exam of visual system	252	174	$145.99	$83.20
92133 Imaging of optic nerve	132	126	$71.35	$32.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$299.51	$155.94
92134 Imaging of retina	122	114	$90.02	$37.46
92083 Exam of visual field with extended testing	106	102	$107.07	$58.30
66984 Removal of cataract with insertion of lens	94	57	$214.86	$98.37
92250 Photography of the retina	53	52	$76.93	$34.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$201.95	$103.87
66821 Removal of recurring cataract in lens capsule using a laser	12	11	$136.82	$64.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	520	477	$212.00	$118.21
92012 Established patient problem focused exam of visual system	253	169	$153.00	$83.67
92134 Imaging of retina	137	121	$87.00	$37.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	132	132	$337.00	$155.63
92133 Imaging of optic nerve	124	118	$86.00	$33.22
92083 Exam of visual field with extended testing	100	96	$115.00	$57.90
66984 Removal of cataract with insertion of lens	65	40	$215.64	$99.53
92250 Photography of the retina	54	54	$73.00	$34.52
92004 New patient complete exam of visual system	33	33	$247.00	$140.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$222.00	$104.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	462	415	$212.00	$118.10
92012 Established patient problem focused exam of visual system	277	187	$153.00	$82.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	140	140	$337.00	$156.35
92133 Imaging of optic nerve	110	102	$86.00	$33.42
92083 Exam of visual field with extended testing	105	94	$115.00	$57.80
92134 Imaging of retina	97	88	$87.00	$37.66
92250 Photography of the retina	74	73	$73.00	$34.38
66984 Removal of cataract with insertion of lens	61	40	$227.11	$98.62
92004 New patient complete exam of visual system	40	40	$247.00	$140.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$222.00	$104.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	382	367	$220.47	$117.90
92012 Established patient problem focused exam of visual system	341	209	$156.12	$83.06
92133 Imaging of optic nerve	143	130	$78.06	$33.45
92083 Exam of visual field with extended testing	140	112	$123.14	$57.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	136	136	$324.21	$156.49
92134 Imaging of retina	105	94	$78.10	$37.79
66984 Removal of cataract with insertion of lens	86	52	$249.38	$100.63
92250 Photography of the retina	82	82	$90.77	$35.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	28	$220.12	$121.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$214.59	$104.21
92004 New patient complete exam of visual system	25	25	$274.72	$140.73
76514 Ultrasound scan of cornea to determine thickness	11	11	$37.00	$10.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	394	227	$160.00	$82.90
92014 Established patient complete exam of visual system	259	258	$232.07	$118.88
92133 Imaging of optic nerve	117	111	$70.13	$34.18
92250 Photography of the retina	107	105	$119.94	$41.57
92083 Exam of visual field with extended testing	107	96	$134.94	$58.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$307.00	$154.66
92134 Imaging of retina	58	50	$70.00	$38.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$202.94	$102.87
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$177.76	$70.70
66984 Removal of cataract with insertion of lens	25	16	$250.00	$103.39
92004 New patient complete exam of visual system	25	25	$269.28	$143.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$200.46	$101.03
76514 Ultrasound scan of cornea to determine thickness	19	19	$43.00	$10.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	116	97	$160.00	$82.33
92014 Established patient complete exam of visual system	84	84	$231.86	$118.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$307.00	$154.06
92083 Exam of visual field with extended testing	38	35	$135.00	$59.35
92250 Photography of the retina	38	38	$120.00	$46.61
92133 Imaging of optic nerve	27	27	$70.00	$33.71
92134 Imaging of retina	22	21	$70.00	$38.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$202.00	$101.80

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License ID ODP100472

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License WA OD60970822

Hospital & Practice Group Affiliations

Eye Clinic Of Sandpoint Pa

307 S 1st Ave, Sandpoint, ID 838641201

Phone: 2082638501

Secondary Practice Locations

1720 N Hamilton St

Spokane, WA 992072474

Phone: 5093282632

513 E Hastings Rd Ste C

Spokane, WA 992181977

Phone: 5093282632

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Charles George , MD

Ophthalmology

NPI 1194733410

Doctor of Medicine (M.D.)

Dr. Jason Petersen , OD

Optometrist

NPI 1407235948

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 05, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2019

Registered at 307 S 1ST AVE, SANDPOINT, ID 838641201 (Tel: 2082638501)

📍

Updated Business Mailing Address June 05, 2019

Registered at 307 S 1ST AVE, SANDPOINT, ID 838641201 (Tel: 2082638501)

👤

Provider Name / Credentials Updated June 05, 2019

Recorded as BRAYDEN PETERSEN, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2019

Optometrist (License #ODP100472 in ID)

🟢

Initial NPI Registration & Enumeration June 05, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932767753

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 05, 2019

Last Update: August 08, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

307 S 1st Ave

Sandpoint, ID 838641201

Phone: 2082638501

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.