Thomas G. Peterson, O.D.
NPI 1114043387ActiveIndividual· Optometrist· Shawano, WI
Optometrist (O.D.) in Shawano, Wisconsin, trained at University of Missouri St Louis - School of Optometry (class of 1989). Their prescriptions cost Medicare Part D more than their services did: $29,258 for 303 claims, against $19,058 paid for services in 2024.
Overview
| NPI | 1114043387 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Mar 21, 2007 |
| Last updated in NPPES | Jul 22, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2324 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 179 |
|---|---|
| Services billed | 1,168 across 14 procedure codes |
| Paid by Medicare | $19,058 |
Part D prescriptions in 2024
| Prescriptions (claims) | 303 · 610 30-day fills |
|---|---|
| Patients | 78 |
| Total drug cost | $29,258 |
| Generic share | 70% of claims |
Education and affiliations
| Medical school | University of Missouri St Louis - School of Optometry |
|---|---|
| Graduation year | 1989 |
| Medicare specialty | Optometry |
Medical group
- Shoptikal LLCAshwaubenon, WI · 189 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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