BRADLEY D MARTINSON (OD) – Optometrist, NPI 1174774079

BRADLEY D MARTINSON (OD) is a healthcare provider. based in Godfrey, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046010101 (IL). The NPI Number for BRADLEY D MARTINSON (OD) is 1174774079

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY D MARTINSON (OD)
NPI
1174774079
Phone
(618) 466-8787
Address
PO BOX 5040
Enumeration Date
9 October 2008
Last Update Date
25 April 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
6184668787
Graduation Year
2008 (18 years ago)
PAC ID
5193886273
Group Practice PAC ID
2961586805
Professional Enrollment ID
I20081208000391
Address ID
IL620352558GO3300XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for BRADLEY D MARTINSON (OD)

  • PO BOX 5040

    GODFREY, IL 62035

    Phone: (618) 466-8787

    Fax: (618) 466-4703

    Type: Mailing

  • 3300, Godfrey Road, North Alton, Godfrey, Madison County, Illinois, 62035, United States

    GODFREY, IL 62035

    Phone: (618) 466-8787

    Fax: (618) 466-4703

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $172.

Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($125).

Total Amount

$172

General + Research + Ownership

Payments

10

Total payment records

General Amount

$172

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

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: 2008-12-08

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
I20081208000391IOptometryILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2828$0
92250Photography of the retina2626$0
99214Established patient office or other outpatient visit, 30-39 minutes1818$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 62035)

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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: 2961586805View full group profile
NameSpecialtyState
O P T O M E T R YMO
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

Is there an official ID for BRADLEY D MARTINSON (OD) in U.S. healthcare records?
The official identifier for BRADLEY D MARTINSON (OD) is NPI 1174774079.
Is BRADLEY D MARTINSON (OD) still an active registrant?
BRADLEY D MARTINSON (OD) carries an active NPI according to the public dataset.
What expertise is attributed to BRADLEY D MARTINSON (OD)?
BRADLEY D MARTINSON (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRADLEY D MARTINSON (OD)?
Travel planning: use Godfrey, Illinois as the reference point for BRADLEY D MARTINSON (OD), then confirm.
When was this NPI issued?
Enumeration for BRADLEY D MARTINSON (OD) is noted as October 9, 2008 where the registry provides it.

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