DR. BRADLEY R. COGSWELL (O.D.) – Optometrist, NPI 1164402491

DR. BRADLEY R. COGSWELL (O.D.) is a healthcare provider. based in Oak lawn, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. The NPI Number for DR. BRADLEY R. COGSWELL (O.D.) is 1164402491

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRADLEY R. COGSWELL (O.D.)
NPI
1164402491
Phone
(708) 636-0600
Address
4663 W 95TH ST
Enumeration Date
20 January 2006
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7086360600
Graduation Year
2000 (26 years ago)
PAC ID
1759452386
Group Practice PAC ID
1456422070
Professional Enrollment ID
I20080625000285
Address ID
IL604532540OA4663XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:20State licenses:0Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. BRADLEY R. COGSWELL (O.D.)

  • West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60457, United States

    OAK LAWN, IL 604532540

    Phone: (708) 636-0600

    Fax: (708) 636-0606

    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 $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-03-27 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($31).

Total Amount

$55

General + Research + Ownership

Payments

2

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-06-25

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
I20080625000285IOptometryILTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes3530$0
View full utilization report →

Insurance plans in this area (ZIP 60453)

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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: 1456422070View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Where can patients find DR. BRADLEY R. COGSWELL (O.D.)'s NPI?
You can confirm DR. BRADLEY R. COGSWELL (O.D.) with NPI 1164402491; it appears in the national provider directory.
Is DR. BRADLEY R. COGSWELL (O.D.) currently active in the NPI registry?
CMS-published data lists DR. BRADLEY R. COGSWELL (O.D.) as an active registrant.
Can you summarize DR. BRADLEY R. COGSWELL (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. BRADLEY R. COGSWELL (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. BRADLEY R. COGSWELL (O.D.) practice in Illinois?
You will see Oak Lawn, Illinois on file for DR. BRADLEY R. COGSWELL (O.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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