Luke Tyler Peterson, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20018-02590 Issued in NC

Practice address

4101 Campus Ridge Rd
Matthews, NC 28105-5077

Phone

(404) 295-6810

Fax

(833) 231-6851

NPI assigned

Apr 26, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

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 2

Specialty

Ophthalmology

Education

Emory University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metrolina Eye Associates PLLCGroup PAC ID 7315908498, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Union Hospital, Monroe, NC, CCN 340130

Merit-based Incentive Payment System (MIPS)

Final score

95.15 of 100Reported as group

Quality

100

Improvement activities

40

Cost

83.84

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lpeterson@metrolina.intellechartdirect.net
• Direct secure messaging: lpeterson@metrolinaeye.direct.eyemdemr.com

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.

• Metrolina Eye Associates, PLLC

  • Ophthalmology Physician
  • Monroe, NC
  • NPI 1700839305

  SC

  Medicare reassignment Care Compare group NPD
• Premier Surgery Center of the Carolinas, LLC

  • Ambulatory Surgical Clinic/Center
  • Indian Land, SC
  • NPI 1023839438

  Ophthalmology

  Medicare reassignment NPD
• Metrolina Eye Associates, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Indian Land, SC
  • NPI 1063896777
  NPD
• Metrolina Eye Surgery Center, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Matthews, NC
  • NPI 1356976658
  NPD (past)

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

• The Charlotte-Mecklenburg Hospital Authority

  dba Atrium Health Union

  • General Acute Care Hospital
  • Monroe, NC
  • NPI 1396790325
  Care Compare affiliation

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1659698967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 CAMPUS RIDGE RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055077",
            "telephone_number": "404-295-6810",
            "fax_number": "833-231-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 CAMPUS RIDGE RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055077",
            "telephone_number": "404-295-6810",
            "fax_number": "833-231-6851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6237 Carolina Commons Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Indian Land",
            "state": "SC",
            "postal_code": "297076015",
            "country_code": "US",
            "telephone_number": "803-547-3937",
            "fax_number": "833-231-6851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Comfort Ln Ste E",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281126493",
            "country_code": "US",
            "telephone_number": "704-289-5455",
            "fax_number": "704-291-2207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LUKE",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-26",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "53018",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "23966",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "072079",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E-9417",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "AR",
            "license": "E9417",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "SC",
            "license": "MD81655",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "MS",
            "license": "23966",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NC",
            "license": "2018-02590",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "20018-02590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyrah Perry
• Diondre Person
• Personalized Therapy, Inc.
• Melissa Petcu
• Brenda Wright Peters, MS, CCC-SLP
• Alyssa Petruzzello
• Mark M Petryna, DDS
• Hiep Pham
• Christopher Latham Phelps, D.M.D.
• Richard John Phillips, PHARMD

• Ophthalmology Physician in Matthews, NC
• Providers in Matthews, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.