Active NPI 1265572762 Individual Practitioner Male Practitioner

Dr. Douglas J. Pethe , OD

Optometrist • Sioux Falls, SD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Pethe, OD is a certified Optometrist practicing in Sioux Falls, SD. With approximately 21 years of clinical experience since graduating from Pacific University - College Of Optometry in 2005, Dr. Pethe delivers high-quality medical care to the local community at 3101 W 57TH ST.

Dr. Pethe is affiliated with Associated Eye Care Services, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient outpatient office visit, established patient complete 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

3101 W 57th St

Sioux Falls, SD 571083162

Telephone 6053613937

Fax 6053717199

Associated Practice Facility / Clinic

🏢 Vance Thompson Vision Clinic Prof Llc Facility NPI 1205193554

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Sioux Falls, SD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +3.4 yrs vs City Avg

City Avg: 17.6 Yrs

State Avg: 22.6 Yrs

Regional Practice Density

76 Specialists

Practicing in Sioux Falls, SD (253 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

29.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pethe (21 Years) 21 Yrs

Sioux Falls Specialty Average (17.6 Years) 17.6 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
92250 Photography of the retina	394	388	$100.00	$37.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	159	$173.00	$128.87
99213 Established patient office or other outpatient visit, typically 15 minutes	80	69	$122.00	$91.49
92014 Established patient complete exam of visual system	77	77	$171.00	$127.69
92004 New patient complete exam of visual system	57	57	$203.00	$150.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$140.00	$112.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$214.00	$167.01
92133 Imaging of optic nerve	12	12	$76.00	$35.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	260	254	$100.00	$37.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	124	$173.00	$128.86
92014 Established patient complete exam of visual system	88	88	$171.00	$127.68
99213 Established patient office or other outpatient visit, typically 15 minutes	66	58	$122.00	$91.20
92004 New patient complete exam of visual system	49	49	$203.00	$152.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$214.00	$160.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$140.00	$112.85
92133 Imaging of optic nerve	21	20	$76.00	$37.14
66984 Removal of cataract with insertion of lens	17	12	$500.00	$108.84
92134 Imaging of retina	11	11	$76.00	$40.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	123	117	$100.00	$38.12
92014 Established patient complete exam of visual system	93	93	$171.00	$130.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	78	$173.00	$128.85
99213 Established patient office or other outpatient visit, typically 15 minutes	60	44	$122.00	$92.20
92004 New patient complete exam of visual system	46	46	$203.00	$154.59
66984 Removal of cataract with insertion of lens	27	21	$500.00	$106.63
92012 Established patient problem focused exam of visual system	24	19	$122.00	$88.89
92134 Imaging of retina	23	23	$76.00	$41.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$214.00	$168.72
92133 Imaging of optic nerve	16	15	$76.00	$37.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$140.00	$113.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	124	123	$182.03	$132.56
92250 Photography of the retina	88	86	$109.20	$41.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	50	$319.94	$133.92
92004 New patient complete exam of visual system	47	47	$202.49	$157.63
92136 Measurement of corneal curvature and depth of eye	32	26	$150.00	$48.57
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$186.07	$94.25
92012 Established patient problem focused exam of visual system	27	26	$129.04	$94.37
92133 Imaging of optic nerve	15	15	$83.80	$38.29
92134 Imaging of retina	15	15	$98.67	$42.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	264	243	$190.00	$131.59
92250 Photography of the retina	128	124	$130.00	$47.11
92136 Measurement of corneal curvature and depth of eye	99	77	$150.00	$53.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	90	$283.33	$111.13
92012 Established patient problem focused exam of visual system	62	58	$160.00	$92.32
92004 New patient complete exam of visual system	58	58	$200.00	$156.08
92133 Imaging of optic nerve	37	35	$85.00	$37.79
92134 Imaging of retina	27	27	$110.00	$42.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$180.00	$151.53
92020 Examination of cornea and iris using lens device and slit lamp	17	16	$80.00	$28.76
92083 Exam of visual field with extended testing	14	13	$120.00	$66.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	309	282	$190.00	$129.71
92250 Photography of the retina	208	200	$130.00	$52.01
92136 Measurement of corneal curvature and depth of eye	133	106	$150.00	$58.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	121	$150.00	$111.03
92004 New patient complete exam of visual system	91	91	$200.00	$154.73
92012 Established patient problem focused exam of visual system	84	74	$160.00	$90.51
92134 Imaging of retina	53	47	$110.00	$41.67
92133 Imaging of optic nerve	42	42	$85.00	$37.00
92083 Exam of visual field with extended testing	23	22	$120.00	$65.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$180.00	$148.71
92020 Examination of cornea and iris using lens device and slit lamp	18	18	$80.00	$28.30
68761 Closure of tear duct opening using plug	13	12	$507.69	$183.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	297	267	$190.00	$127.06
92250 Photography of the retina	207	197	$130.00	$57.83
92136 Measurement of corneal curvature and depth of eye	130	102	$150.00	$56.05
92012 Established patient problem focused exam of visual system	102	84	$150.59	$88.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	92	$150.00	$108.17
92004 New patient complete exam of visual system	75	75	$183.20	$152.58
92133 Imaging of optic nerve	54	53	$85.00	$36.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	50	$180.00	$146.30
92134 Imaging of retina	39	36	$110.00	$41.77
68761 Closure of tear duct opening using plug	31	27	$510.97	$187.10
92020 Examination of cornea and iris using lens device and slit lamp	22	22	$80.00	$27.01
92083 Exam of visual field with extended testing	21	21	$120.00	$65.05
76514 Ultrasound scan of cornea to determine thickness	15	15	$25.00	$14.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	293	267	$180.44	$117.79
92250 Photography of the retina	212	201	$120.75	$63.22
92012 Established patient problem focused exam of visual system	138	105	$125.33	$81.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	111	$132.26	$103.46
92136 Measurement of corneal curvature and depth of eye	113	91	$145.88	$62.22
92004 New patient complete exam of visual system	97	97	$214.02	$144.10
92133 Imaging of optic nerve	64	64	$82.19	$34.08
68761 Closure of tear duct opening using plug	42	38	$522.38	$188.11
92134 Imaging of retina	39	35	$110.00	$38.59
92083 Exam of visual field with extended testing	32	32	$115.63	$62.24
92020 Examination of cornea and iris using lens device and slit lamp	28	28	$79.29	$25.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	26	$179.04	$139.15

Medical Specialties & State Licenses

CMS Verified: 2026-08-06

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CO 2490

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

93551258 (CO)

Hospital & Practice Group Affiliations

Associated Eye Care Services, Llc

11961 Lioness Way, Parker, CO 801345302

Phone: 3037941111

Practice Associates & Co-Workers

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

38 Associated Practitioners

Dr. Justin Schweitzer , OD

Optometrist

NPI 1023047867

Doctor of Optometry

Dr. Kayla Karpuk , OD

Optometrist

NPI 1033639851

Doctor of Optometry

Dr. Daniel Terveen , MD

Ophthalmology

NPI 1053791715

Doctor of Medicine (M.D.)

Hilary Olinger , CNP

Nurse Practitioner

NPI 1063259588

Certified Nurse Practitioner

Dr. Vance Thompson , MD

Ophthalmology

NPI 1073519989

Doctor of Medicine (M.D.)

Dr. Brooke Messer , OD

Optometrist

NPI 1114239282

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 06, 2026

Registered at 3101 W 57TH ST, SIOUX FALLS, SD 571083162 (Tel: 6053613937)

📍

Updated Business Mailing Address August 06, 2026

Registered at 3101 W 57TH ST, SIOUX FALLS, SD 571083162 (Tel: 6053613937)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 3900 E MEXICO AVE STE 102, DENVER, CO 802103941 (Tel: 7205241001)

📍

Updated Business Mailing Address July 09, 2007

Registered at 3900 E MEXICO AVE STE 102, DENVER, CO 802103941 (Tel: 7205241001)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as DOUGLAS PETHE, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Optometrist (License #2490 in CO)

🟢

Initial NPI Registration & Enumeration February 07, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265572762

Entity Type:

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

Enumeration Date: February 07, 2007

Last Update: August 06, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3101 W 57th St

Sioux Falls, SD 571083162

Phone: 6053613937

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.