DR. BRYCE BYRAM THUESON (O.D.) – Optometrist, NPI 1144260969

DR. BRYCE BYRAM THUESON (O.D.) is a healthcare provider. based in Rexburg, Idaho. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. ODP-100014 (ID). The NPI Number for DR. BRYCE BYRAM THUESON (O.D.) is 1144260969

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRYCE BYRAM THUESON (O.D.)
NPI
1144260969
Phone
(208) 356-4585
Address
76 PROFESSIONAL PLZ
Enumeration Date
8 June 2006
Last Update Date
22 July 2010

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
2083564585
Graduation Year
2002 (24 years ago)
PAC ID
6002947629
Group Practice PAC ID
1759634397
Professional Enrollment ID
I20100625000794
Address ID
ID834402047RE76XXXPLZX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

268 OPTOMETRY in ID

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Provider Addresses for DR. BRYCE BYRAM THUESON (O.D.)

  • 76, Professional Plaza, Rexburg, Madison County, Idaho, 83440, United States

    REXBURG, ID 834402047

    Phone: (208) 356-4585

    Fax: (208) 356-4587

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-03-04 • Largest payer in this snapshot: Alcon Vision LLC ($31).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$31
View all Open Payments →|Open Payments Risk Radar →

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: 2010-06-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100625000794IOptometryIDTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina255198$0
92014Established patient complete exam of visual system155155$0
99214Established patient office or other outpatient visit, 30-39 minutes10791$0
99213Established patient office or other outpatient visit, 20-29 minutes4728$0
92083Exam of visual field with extended testing4646$0
View full utilization report →

Insurance plans in this area (ZIP 83440)

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Provider's Procedures

DR. BRYCE BYRAM THUESON (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYID92083Measurement of field of vision during daylight conditions7159
OPTOMETRYID92134Diagnostic imaging of retina3726

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759634397View full group profile
NameSpecialtyState
O P T O M E T R YID

Reviews

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Frequently asked questions

How do I look up DR. BRYCE BYRAM THUESON (O.D.) by NPI?
Use NPI 1144260969 when you need to reference DR. BRYCE BYRAM THUESON (O.D.) in forms, claims, or directories.
Is DR. BRYCE BYRAM THUESON (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. BRYCE BYRAM THUESON (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for DR. BRYCE BYRAM THUESON (O.D.). Clinical services aligned with this taxonomy classification.
Does DR. BRYCE BYRAM THUESON (O.D.) practice in Idaho?
You will see Rexburg, Idaho on file for DR. BRYCE BYRAM THUESON (O.D.) alongside any extra practice locations.
How can I contact DR. BRYCE BYRAM THUESON (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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