Active NPI 1285863530 Individual Practitioner Male Practitioner

Dr. Dane M Peterson , OD

Optometrist • St. Anthony, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Dane Peterson, OD is a certified Optometrist practicing in St. Anthony, MN. With approximately 17 years of clinical experience since graduating from University Of Missouri St Louis - School Of Optometry in 2009, Dr. Peterson delivers high-quality medical care to the local community at 2601 39TH AVE NE STE 1.

Dr. Peterson is affiliated with Northwest Eye Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete 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

2601 39th Ave Ne Ste 1

St. Anthony, MN 554214372

Telephone 7634167600

Fax 7634167634

Associated Practice Facility / Clinic

🏢 Northwest Eye Clinic, Llc Facility NPI 1255417002

Medicare Profile & Education

Medical School

University Of Missouri St Louis - School Of Optometry

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in St. Anthony, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -4.3 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

3 Specialists

Practicing in St. Anthony, MN (1178 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (17 Years) 17 Yrs

St. Anthony Specialty Average (21.3 Years) 21.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	479	262	$186.43	$88.47
92014 Established patient complete exam of visual system	134	134	$321.09	$124.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	76	$274.10	$124.82
92133 Imaging of optic nerve	79	76	$112.00	$33.65
92083 Exam of visual field with extended testing	77	76	$164.00	$63.10
83861 Microfluid analysis of tears	32	16	$47.00	$22.03
83516 Analysis of substance using immunoassay technique	30	15	$34.00	$11.30
92134 Imaging of retina	22	22	$114.59	$39.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$271.00	$107.60
92004 New patient complete exam of visual system	12	12	$382.00	$147.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	474	243	$185.00	$89.04
92014 Established patient complete exam of visual system	176	175	$320.00	$127.39
92083 Exam of visual field with extended testing	63	58	$164.00	$63.30
92133 Imaging of optic nerve	59	56	$112.00	$34.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	50	$271.00	$126.11
83516 Analysis of substance using immunoassay technique	44	22	$34.00	$11.30
83861 Microfluid analysis of tears	44	22	$47.00	$22.03
92134 Imaging of retina	29	28	$114.00	$39.71
92004 New patient complete exam of visual system	13	13	$382.00	$150.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$271.00	$109.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	465	246	$185.00	$89.25
92014 Established patient complete exam of visual system	112	112	$320.00	$127.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	77	$271.00	$126.38
92133 Imaging of optic nerve	55	54	$112.00	$34.75
92083 Exam of visual field with extended testing	47	46	$164.00	$63.67
83861 Microfluid analysis of tears	36	18	$47.00	$22.19
83516 Analysis of substance using immunoassay technique	36	18	$34.00	$11.38
92134 Imaging of retina	15	15	$114.00	$40.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$271.00	$110.92
92004 New patient complete exam of visual system	12	12	$382.00	$151.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	370	224	$185.00	$91.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	129	$271.00	$129.40
92014 Established patient complete exam of visual system	95	95	$320.00	$129.13
92083 Exam of visual field with extended testing	44	41	$164.00	$65.01
92133 Imaging of optic nerve	38	37	$112.00	$35.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$271.00	$111.96
83516 Analysis of substance using immunoassay technique	22	11	$34.00	$11.53
83861 Microfluid analysis of tears	22	11	$47.00	$22.48
92134 Imaging of retina	16	16	$114.00	$38.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$411.00	$167.12
92004 New patient complete exam of visual system	14	14	$382.00	$153.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	208	115	$185.00	$74.49
92014 Established patient complete exam of visual system	105	105	$320.00	$129.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	64	$271.00	$109.66
83861 Microfluid analysis of tears	26	13	$47.00	$22.41
83516 Analysis of substance using immunoassay technique	26	13	$34.00	$11.49
92083 Exam of visual field with extended testing	25	24	$164.00	$65.06
92134 Imaging of retina	22	21	$114.00	$40.89
92133 Imaging of optic nerve	19	18	$112.00	$35.54
92004 New patient complete exam of visual system	14	14	$382.00	$153.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$271.00	$108.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	269	121	$183.68	$74.04
92014 Established patient complete exam of visual system	105	105	$315.81	$127.98
92012 Established patient problem focused exam of visual system	78	69	$218.81	$89.32
83516 Analysis of substance using immunoassay technique	62	31	$32.35	$12.55
83861 Microfluid analysis of tears	61	31	$45.92	$22.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$269.25	$108.43
92083 Exam of visual field with extended testing	30	29	$164.00	$65.20
92133 Imaging of optic nerve	22	21	$112.00	$34.99
92004 New patient complete exam of visual system	22	22	$378.73	$152.73
92134 Imaging of retina	15	15	$114.00	$39.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	88	45	$182.00	$69.13
92012 Established patient problem focused exam of visual system	40	38	$215.00	$87.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$267.00	$106.42
92014 Established patient complete exam of visual system	26	26	$312.00	$126.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	84	51	$182.00	$70.51
83861 Microfluid analysis of tears	36	18	$45.00	$22.21
83516 Analysis of substance using immunoassay technique	32	16	$31.00	$15.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$267.00	$105.70
92014 Established patient complete exam of visual system	22	22	$312.00	$123.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$406.00	$159.95
92012 Established patient problem focused exam of visual system	11	11	$215.00	$85.00

Medical Specialties & State Licenses

CMS Verified: 2020-03-17

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 3325

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 CO 2738

Hospital & Practice Group Affiliations

Northwest Eye Clinic Llc

2601 39th Ave Ne, St Anthony, MN 554214372

Phone: 7634167600

Secondary Practice Locations

12000 Elm Creek Blvd N Ste 100

Maple Grove, MN 553697074

Phone: 7634167600

8501 Golden Valley Rd Ste 100

Golden Valley, MN 554274472

Phone: 7634167600

Practice Associates & Co-Workers

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

29 Associated Practitioners

Dr. William Engel , MD

Ophthalmology

NPI 1023093390

Doctor of Medicine (M.D.)

Dr. Gerald Loushin , MD

Ophthalmology

NPI 1063490928

Doctor of Medicine (M.D.)

Dr. Janice Sinclair , MD

Ophthalmology

NPI 1104804962

Doctor of Medicine (M.D.)

Dr. John Berestka , MD

Ophthalmology

NPI 1114905072

Doctor of Medicine (M.D.)

Dr. Tanya Glaser , MD

Ophthalmology

NPI 1164840211

Doctor of Medicine (M.D.)

Dr. Alejandra Decanini Mancera , MD

Ophthalmology

NPI 1174799357

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 17, 2020

Registered at 2601 39TH AVE NE STE 1, ST. ANTHONY, MN 554214372 (Tel: 7634167600)

📍

Updated Business Mailing Address March 17, 2020

Registered at 8401 GOLDEN VALLEY RD STE 330, GOLDEN VALLEY, MN 554274488 (Tel: 7634167629)

✅

NPI Profile Active February 24, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 24, 2015

Registered at 2601 39TH AVE NE STE 1, MINNEAPOLIS, MN 554214372 (Tel: 7633834132)

📍

Updated Business Mailing Address February 24, 2015

Registered at 8401 GOLDEN VALLEY RD, SUITE #330, GOLDEN VALLEY, MN 554274486 (Tel: 7633834132)

👤

Provider Name / Credentials Updated February 24, 2015

Recorded as DANE PETERSON, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2015

Optometrist (License #2738 in CO)

🟢

Initial NPI Registration & Enumeration July 08, 2009

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: 1285863530

Entity Type:

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

Enumeration Date: July 08, 2009

Last Update: March 17, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8401 Golden Valley Rd Ste 330

Golden Valley, MN 554274488

Phone: 7634167629

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.