DR. BRYAN R BOWEN (OD) – Optometrist, NPI 1588660633

DR. BRYAN R BOWEN (OD) is a healthcare provider. based in Marion, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2001018120 (MO). The NPI Number for DR. BRYAN R BOWEN (OD) is 1588660633

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRYAN R BOWEN (OD)
NPI
1588660633
Phone
(618) 993-5686
Address
1200 W DEYOUNG ST
Enumeration Date
23 June 2005
Last Update Date
25 January 2017

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
6183572020
Graduation Year
2001 (25 years ago)
PAC ID
5193710556
Group Practice PAC ID
3072426774
Professional Enrollment ID
I20050131000564
Address ID
IL622741344PI401XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. BRYAN R BOWEN (OD)

  • 1200, West Deyoung Street, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 629594437

    Phone: (618) 993-5686

    Fax: (618) 997-6250

    Type: Mailing

  • 401, South Walnut Street, Pinckneyville, Perry County, Illinois, 62274, United States

    PINCKNEYVILLE, IL 622741344

    Phone: (618) 357-2020

    Fax: (618) 357-2100

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040416000310IOptometryMOTBD
I20050131000564IOptometryILTBD

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
92014Established patient complete exam of visual system480369$0
92201Extended exam of the back part of the eye with retinal drawing209208$0
83861Microfluid analysis of tears16673$0
92134Imaging of retina135117$0
92004New patient complete exam of visual system8787$0
View full utilization report →

Insurance plans in this area (ZIP 62959)

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Provider's Procedures

DR. BRYAN R BOWEN (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIL92012Eye and medical examination for diagnosis and treatment, established patient217185
OPTOMETRYIL92083Measurement of field of vision during daylight conditions139129
OPTOMETRYIL92134Diagnostic imaging of retina5751

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: 3072426774View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P H T H A L M O L O G YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P H T H A L M O L O G YIL
Physician AssistantIL
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

How is DR. BRYAN R BOWEN (OD) identified in CMS data?
CMS-hosted NPPES data lists DR. BRYAN R BOWEN (OD) with NPI 1588660633.
Does CMS list DR. BRYAN R BOWEN (OD) as active?
Yes — DR. BRYAN R BOWEN (OD) is active in the NPI listing used on this page.
What is DR. BRYAN R BOWEN (OD) best known for clinically?
Directory data describes DR. BRYAN R BOWEN (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. BRYAN R BOWEN (OD) on a map?
Expect Marion, Illinois as a primary anchor for DR. BRYAN R BOWEN (OD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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