Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Dane M Peterson , OD

Optometrist โ€ข St. Anthony, MN

Active NPI 1285863530 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2601 39th Ave Ne Ste 1
St. Anthony, MN 554214372

Call 7634167600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2601 39th Ave Ne Ste 1

St. Anthony, MN 554214372

Telephone 7634167600
Fax 7634167634
Organization at the Same NPPES Address or Phone
Northwest Eye Clinic, Llc Facility NPI 1255417002

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Golden Valley, MN; Maple Grove, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Northwest Eye Clinic Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Medical School

University Of Missouri St Louis - School Of Optometry

Graduation Year

2009

Medicare patients

425 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $82,841 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $57,157 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

2,230 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$290,760 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $194.41 across 4 records.

By nature of payment

  • Food and Beverage: $194.41 across 4 records.

Reporting-company totals

  • BIOTISSUE HOLDINGS INC.: $172.84 across 3 records.
  • Dompe US, Inc.: $21.57 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

17 years (graduated 2009)

CMS Doctors and Clinicians data list 2009 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Peterson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Peterson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in St. Anthony and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Optometrist in Minnesota (2024, 668 clinicians with data). Median for this group: 257. Middle half: 81 to 589.

Too few clinicians listed under Optometrist in St. Anthony have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Optometrist in Minnesota (2024, 668 clinicians with data). Median for this group: $22,065. Middle half: $8,724 to $41,355.

Too few clinicians listed under Optometrist in St. Anthony have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 90% of clinicians listed under Optometrist in Minnesota (2024, 668 clinicians with data). Median for this group: $14,169. Middle half: $5,359 to $26,765.

Too few clinicians listed under Optometrist in St. Anthony have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Optometrist in Minnesota (2024, 616 clinicians with data). Median for this group: 177. Middle half: 62 to 410.

Too few clinicians listed under Optometrist in St. Anthony have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Optometrist in Minnesota (2024, 616 clinicians with data). Median for this group: $8,912. Middle half: $1,316 to $35,598.

Too few clinicians listed under Optometrist in St. Anthony have Medicare Part D data for 2024 to compare.

3 active clinicians are listed under Optometrist with a practice address in St. Anthony, MN (1,150 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $194.41.

Manufacturer Payment Nature Product Type Amount ($)
BIOTISSUE HOLDINGS INC.
Food and Beverage
In-kind items and services
โ€” General $126.55
BIOTISSUE HOLDINGS INC.
Food and Beverage
In-kind items and services
โ€” General $27.72
Dompe US, Inc.
Food and Beverage
In-kind items and services
OXERVATE General $21.57
BIOTISSUE HOLDINGS INC.
Food and Beverage
In-kind items and services
โ€” General $18.57

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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, multiple step method
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

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Latanoprost Latanoprost 328 21,043 $5,638.25 101
Fluorometholone Fluorometholone 154 3,206 $10,685.48 67
Erythromycin Erythromycin Base 139 2,168 $1,575.69 85
Timolol Maleate Timolol Maleate 125 7,967 $2,179.66 34
Neomycin-Polymyxin-Dexameth Neomycin/Polymyxin B/Dexametha 86 1,137 $1,041.79 74
Xiidra Lifitegrast 86 5,460 $122,642.08 34
Restasis Cyclosporine 63 3,270 $64,736.48 27
Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat 61 3,862 $1,141.17 16
Tobramycin Tobramycin 49 1,324 $293.72 31
Prednisolone Acetate Prednisolone Acetate 38 1,039 $1,385.72 29
Brimonidine Tartrate Brimonidine Tartrate 35 2,097 $1,826.27 โ€”
Doxycycline Hyclate Doxycycline Hyclate 30 1,496 $631.68 13
Doxycycline Monohydrate Doxycycline Monohydrate 25 1,268 $578.04 โ€”
Miebo Perfluorohexyloctane/Pf 23 724 $18,597.69 โ€”
Lumigan Bimatoprost 19 1,055 $9,652.55 โ€”
Cyclosporine Cyclosporine 18 1,080 $7,726.38 โ€”
Xdemvy Lotilaner 18 820 $33,622.26 18
Ofloxacin Ofloxacin 13 360 $157.22 โ€”
Moxifloxacin Moxifloxacin Hcl 12 163 $184.57 โ€”
Cequa Cyclosporine 12 360 $6,462.92 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-03-17
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

License # reported to NPPES 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

License # reported to NPPES CO 2738

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OPTOMETRY

Medicare Enrollment ID

I20130604000320

Enrollment State Jurisdiction

MN

PECOS Control ID

2769528736

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Northwest Eye Clinic Llc

2601 39th Ave Ne, Minneapolis, MN 554214372

Phone: 7634167600

Northwest Eye Clinic Llc

8501 Golden Valley Rd, Golden Valley, MN 554274472

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
NPI 1114905072

Doctor of Medicine (M.D.)

NPI 1295713154

Doctor of Medicine (M.D.)

NPI 1174799357

Doctor of Medicine (M.D.)

NPI 1821188996

Doctor of Medicine (M.D.)

NPI 1184602047

Doctor of Medicine (M.D.)

NPI 1356835748

Doctor of Optometry

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
๐Ÿ“
Updated Practice Location March 17, 2020

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

๐Ÿ“
Updated Business Mailing Address March 17, 2020

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

๐Ÿข
Secondary Practice Location Registered March 17, 2020

Additional practice office at 12000 Elm Creek Blvd N Ste 100, Maple Grove, MN 553697074

๐Ÿข
Secondary Practice Location Registered March 17, 2020

Additional practice office at 8501 Golden Valley Rd Ste 100, Golden Valley, MN 554274472

โœ…
NPI Profile Active February 24, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) February 24, 2015

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

๐Ÿ“
Business Mailing Address (Initial Record) February 24, 2015

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) February 24, 2015

Recorded as DANE PETERSON, OD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2015

Optometrist (license number reported to NPPES: CO 2738)

๐ŸŸข
Initial NPI Registration & Enumeration July 08, 2009

First registered as active Individual Practitioner in NPPES Database.

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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

Other Optometrists in St. Anthony

Mailing Address

8401 Golden Valley Rd Ste 330

Golden Valley, MN 554274488

Phone: 7634167629

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.