Thomas Paul Petrie, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

DO-04534 Issued in IA

Practice address

909 E San Marnan Dr
Waterloo, IA 50702-5611

Phone

(319) 233-2020

NPI assigned

Jun 9, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cedar Valley Medical Specialists PCGroup PAC ID 1759291487, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional Medical Center Hospital, Manchester, IA, CCN 161343
• Allen Hospital Hospital, Waterloo, IA, CCN 160110

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tpetrie200891@direct.unitypoint.org
• Direct secure messaging: tpetrie3935777@direct.trinity-health.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cedar Valley Medical Specialists PC

  • Orthopaedic Surgery Physician
  • Waterloo, IA
  • NPI 1497794242

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Cedar Valley Medical Specialists PC

  • Durable Medical Equipment & Medical Supplies
  • Vinton, IA
  • NPI 1659934180
  NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Cedar Valley Medical Specialists PC

  • Durable Medical Equipment & Medical Supplies
  • Waverly, IA
  • NPI 1073567780
  NPD (past)
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Allen Memorial Hospital Corporation

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1336231091
  Care Compare affiliation
• Delaware County Memorial Hospital

  • Critical Access Hospital
  • Manchester, IA
  • NPI 1750354676
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1497075642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E SAN MARNAN DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025611",
            "telephone_number": "319-233-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E SAN MARNAN DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025611",
            "telephone_number": "319-233-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "THOMAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "DO-04534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.petrie@cvms.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CVMS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "909 E San Marnan Dr",
            "city": "Waterloo",
            "state": "IA",
            "country_code": "US",
            "postal_code": "507025611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin Robert Peterson, DDS
• Jacob John Peterson, PHARMD
• Jaden Peterson
• Taylor Noelle Peterson, LMSW
• Jamie Petrie
• Kate Phillips
• Physical Medicine & Rehabilitation Associates of Northeast Iowa Inc
• Physical Therapy Partners
• Amber Pierce, MT-BC
• Kelli Jo Pierce, ARNP

• Ophthalmology Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Ophthalmology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.