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Active NPI 1184724866 Individual Practitioner Male Practitioner

Dr. Randal J. Peterson , MD

Ophthalmology • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Randal Peterson, MD is a certified Ophthalmology practicing in Springfield, IL. With approximately 40 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 1986, Dr. Peterson delivers high-quality medical care to the local community at 1025 S 6TH ST.

Dr. Peterson is affiliated with Springfield Clinic, Llp and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1025 S 6th St

Springfield, IL 627032403

Telephone 2175287541
Associated Practice Facility / Clinic
🏢 Springfield Clinic, Llp Facility NPI 1780638478

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Springfield, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
40 Yrs +17.6 yrs vs City Avg
City Avg: 22.4 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
25 Specialists

Practicing in Springfield, IL (954 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (40 Years) 40 Yrs
Springfield Specialty Average (22.4 Years) 22.4 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
66984 Removal of cataract with insertion of lens
464 15 $10.98 $1.16
92014 Established patient complete exam of visual system
429 405 $393.48 $119.05
92012 Established patient problem focused exam of visual system
358 245 $292.28 $84.01
76519 Ultrasound of eye for determination of lens power
274 198 $295.11 $28.58
66984 Removal of cataract with insertion of lens
273 176 $3745.69 $504.84
76519 Ultrasound of eye for determination of lens power
196 196 $474.88 $50.69
92133 Imaging of optic nerve
184 145 $171.79 $32.01
92083 Exam of visual field with extended testing
179 137 $335.00 $59.64
66821 Removal of recurring cataract in lens capsule using a laser
133 100 $1728.12 $329.04
92004 New patient complete exam of visual system
123 123 $400.33 $137.89
92134 Imaging of retina
71 60 $185.32 $37.75
92020 Examination of cornea and iris using lens device and slit lamp
50 49 $132.00 $26.23
66982 Complex removal of cataract with insertion of prosthetic lens
42 33 $4493.92 $715.42
92002 New patient problem focused exam of visual system
17 17 $302.76 $80.37
65800 Removal of eye fluid
14 13 $469.29 $110.32

Medical Specialties & State Licenses

CMS Verified: 2020-09-21
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036-080194

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036080194 (IL)

Hospital & Practice Group Affiliations

Springfield Clinic, Llp

1025 S 6th St, Springfield, IL 627032403

Phone: 2175287541

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Kaitlin Henry , MD

Family Medicine

NPI 1003136276

Doctor of Medicine (M.D.)

Sydney Lynch

Physician Assistant - Surgical

NPI 1003404864
Jeremy Elliott

Nurse Practitioner - Family

NPI 1003416546
Jessica Lee , APN

Nurse Practitioner - Family

NPI 1003461831

Advanced Practice Nurse

Julie Hart , PA-C

Physician Assistant

NPI 1003867342

Physician Assistant (Certified)

NPI 1003900739

Licensed Clinical Professional Counselor

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location September 21, 2020

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

NPI Profile Active October 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2016

Registered at 1200 CENTRE WEST DR, SPRINGFIELD, IL 627042173 (Tel: 2175469720)

📍
Updated Business Mailing Address October 17, 2016

Registered at 1200 CENTRE WEST DR, SPRINGFIELD, IL 627042173 (Tel: 2175287541)

👤
Provider Name / Credentials Updated October 17, 2016

Recorded as RANDAL PETERSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2016

Ophthalmology (License #036-080194 in IL)

🟢
Initial NPI Registration & Enumeration September 23, 2006

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: 1184724866
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2006
Last Update: September 21, 2020
Sole Proprietor: No

Mailing Address

1200 Centre West Dr

Springfield, IL 627042173

Phone: 2175287541

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.