BRENT ALAN WICHERT (O.D.) – Optometrist, NPI 1104105204

BRENT ALAN WICHERT (O.D.) is a healthcare provider. based in Hutchinson, Kansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1908 (KS). The NPI Number for BRENT ALAN WICHERT (O.D.) is 1104105204

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
BRENT ALAN WICHERT (O.D.)
NPI
1104105204
Phone
(620) 802-0051
Address
2700 E 30TH AVE
Enumeration Date
8 August 2011
Last Update Date
31 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6206638484
Graduation Year
2011 (15 years ago)
PAC ID
3173797701
Group Practice PAC ID
6305822560
Professional Enrollment ID
I20111117000228
Address ID
KS675021242HU2700XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

532 OPTOMETRY in KS

Provider Addresses for BRENT ALAN WICHERT (O.D.)

  • 2700 E 30TH AVE

    HUTCHINSON, KS 675021242

    Phone: (620) 802-0051

    Fax: (620) 802-0074

    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 $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: ABB Con-Cise Optical Group LLC ($25).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

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: 2011-11-17

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
I20111117000228IOptometryKSTBD

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
92134Imaging of retina4138$0
92083Exam of visual field with extended testing2524$0
92133Imaging of optic nerve2221$0
View full utilization report →

Insurance plans in this area (ZIP 67502)

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Provider's Procedures

BRENT ALAN WICHERT (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYKS92083Measurement of field of vision during daylight conditions5439
OPTOMETRYKS92134Diagnostic imaging of retina3027

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: 6305822560View full group profile
NameSpecialtyState
Clinical Social WorkerKS
Nurse PractitionerKS
Nurse PractitionerKS
Family Practice, Osteopathic Manipulative Medicine, Sports MedicineKS
Physician AssistantKS
Nurse PractitionerKS
Nurse PractitionerKS
O B S T E T R I C S/ G Y N E C O L O G YKS
Clinical Social WorkerKS
-KS

Reviews

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Frequently asked questions

What identifier follows BRENT ALAN WICHERT (O.D.) across health systems?
The NPI 1104105204 uniquely identifies BRENT ALAN WICHERT (O.D.) in U.S. healthcare data.
Should I treat BRENT ALAN WICHERT (O.D.) as an active provider?
Patients and plans typically see BRENT ALAN WICHERT (O.D.) as active in the national extract.
What does the directory say BRENT ALAN WICHERT (O.D.) does?
Insurance directories may phrase it differently, but here BRENT ALAN WICHERT (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit BRENT ALAN WICHERT (O.D.) in Hutchinson, Kansas?
For routing, start with Hutchinson, Kansas for BRENT ALAN WICHERT (O.D.), then verify phone and hours locally.
Can I export BRENT ALAN WICHERT (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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