DR. BRENT COLEMAN LAIRCEY (O.D.) – Optometrist, NPI 1447286976
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
959 OPTOMETRY in GA
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Provider Addresses for DR. BRENT COLEMAN LAIRCEY (O.D.)
Colfax Station Road, Statesboro, Bulloch County, Georgia, 30458, United States
STATESBORO, GA 304580107
Phone: (912) 764-5110
Fax: (912) 489-7655
Type: Mailing
Northside Drive East, Kingswood, Statesboro, Bulloch County, Georgia, 30458, United States
STATESBORO, GA 304610800
Phone: (912) 489-3937
Fax: (912) 489-7655
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041118000498 | I | Optometry | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 1,530 | 13 | $0 |
| 92014 | Established patient complete exam of visual system | 280 | 278 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 38 | $0 |
| 92004 | New patient complete exam of visual system | 49 | 49 | $0 |
| 92012 | Established patient problem focused exam of visual system | 42 | 35 | $0 |
Insurance plans in this area (ZIP 30458)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | GA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 19 | 17 |
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