DR. MICHAEL R BRADEN (O.D.) – Optometrist, NPI 1053479485

DR. MICHAEL R BRADEN (O.D.) is a healthcare provider. based in Whitesville, Kentucky. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1311DT (KY). The NPI Number for DR. MICHAEL R BRADEN (O.D.) is 1053479485

Main info

Male
Sole Proprietor
35 Years Of Experience
Name
DR. MICHAEL R BRADEN (O.D.)
NPI
1053479485
Phone
(270) 313-8717
Address
5420 STATE ROUTE 764
Enumeration Date
5 December 2006
Last Update Date
3 March 2023

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
2706888811
Graduation Year
1991 (35 years ago)
PAC ID
2264447663
Group Practice PAC ID
3577975291
Professional Enrollment ID
I20060207000057
Address ID
KY423017515OW5035XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

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Provider Addresses for DR. MICHAEL R BRADEN (O.D.)

  • 5420 STATE ROUTE 764

    WHITESVILLE, KY 423789641

    Phone: (270) 313-8717

    Fax: (270) 754-4909

    Type: Mailing

  • 410, Southtown Boulevard, Owensboro, Daviess County, Kentucky, 42303, United States

    SUITE 8

    OWENSBORO, KY 423037757

    Phone: (270) 688-8811

    Fax: (270) 688-8050

    Type: Mailing

  • 1725 W EVERLY BROTHERS BLVD

    CENTRAL CITY, KY 423301833

    Phone: (270) 754-4483

    Fax: (270) 754-4909

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $1,085.

Total Amount is formed as General ($1,085) + Research ($0) + Ownership ($0) = $1,085.

Last reported payment date: 2024-01-04 • Largest payer in this snapshot: CooperVision Inc. ($1,068).

Total Amount

$1,085

General + Research + Ownership

Payments

6

Total payment records

General Amount

$1,085

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$1,068
Alcon Vision LLC$17
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: 2006-02-07

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
I20060207000057IOptometryKYTBD

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 system3636$0
View full utilization report →

Insurance plans in this area (ZIP 42378)

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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: 3577975291View full group profile
NameSpecialtyState
O P T O M E T R YKY
O P T O M E T R YOH
O P T O M E T R YAL
O P T O M E T R YIN
O P T O M E T R YAL
O P T O M E T R YKY
O P T O M E T R YIN
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YCT

Reviews

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Frequently asked questions

What number should I use to identify DR. MICHAEL R BRADEN (O.D.) for billing?
Administrative and clinical systems typically use NPI 1053479485 for DR. MICHAEL R BRADEN (O.D.).
Should I treat DR. MICHAEL R BRADEN (O.D.) as an active provider?
Patients and plans typically see DR. MICHAEL R BRADEN (O.D.) as active in the national extract.
What does the directory say DR. MICHAEL R BRADEN (O.D.) does?
Insurance directories may phrase it differently, but here DR. MICHAEL R BRADEN (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MICHAEL R BRADEN (O.D.)?
The directory associates DR. MICHAEL R BRADEN (O.D.) with Whitesville, Kentucky. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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