BRANDON DOUGLAS ROUSE (OD) – Optometrist, NPI 1023122017

BRANDON DOUGLAS ROUSE (OD) is a healthcare provider. based in Kennett, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. T03483 (MO). The NPI Number for BRANDON DOUGLAS ROUSE (OD) is 1023122017

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON DOUGLAS ROUSE (OD)
NPI
1023122017
Phone
(573) 888-2884
Address
PO BOX 807
Enumeration Date
18 August 2006
Last Update Date
4 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709322211
Graduation Year
1999 (27 years ago)
PAC ID
8820249881
Group Practice PAC ID
2860470374
Professional Enrollment ID
I20180705000275
Address ID
AR724013145JO623XXAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for BRANDON DOUGLAS ROUSE (OD)

  • PO BOX 807

    1301 COOK ST

    KENNETT, MO 63857

    Phone: (573) 888-2884

    Fax: (575) 888-3799

    Type: Mailing

  • 1301, Cook Street, Kennett, Dunklin County, Missouri, 63857, United States

    KENNETT, MO 638573259

    Phone: (573) 888-2884

    Fax: (575) 888-3799

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $1,026.

Total Amount is formed as General ($1,026) + Research ($0) + Ownership ($0) = $1,026.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Alcon Vision LLC ($269).

Total Amount

$1,026

General + Research + Ownership

Payments

13

Total payment records

General Amount

$1,026

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

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: 2018-07-05

PECOS data refreshed: 2026-06-15

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
I20121121000530IOptometryMOTBD
I20180705000275IOptometryARTBD

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 system634500$0
99213Established patient office or other outpatient visit, 20-29 minutes394222$0
92012Established patient problem focused exam of visual system340199$0
92134Imaging of retina121104$0
92004New patient complete exam of visual system8585$0
View full utilization report →

Insurance plans in this area (ZIP 63857)

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Provider's Procedures

BRANDON DOUGLAS ROUSE (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMO92083Measurement of field of vision during daylight conditions1616
OPTOMETRYMO92134Diagnostic imaging of retina2828

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: 2860470374View full group profile
NameSpecialtyState
O P T O M E T R YAR
O P T O M E T R YAR
-AR
O P H T H A L M O L O G YAR
O P T O M E T R YAR
O P T O M E T R YAR
O P T O M E T R YAR
O P H T H A L M O L O G YAR

Reviews

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Frequently asked questions

Can I verify BRANDON DOUGLAS ROUSE (OD) with an NPI only?
You can start verification with NPI 1023122017 for BRANDON DOUGLAS ROUSE (OD), then check state licensing separately.
Is BRANDON DOUGLAS ROUSE (OD) still practicing?
BRANDON DOUGLAS ROUSE (OD) is currently listed as active in the public NPI registry.
What is BRANDON DOUGLAS ROUSE (OD) best known for clinically?
Directory data describes BRANDON DOUGLAS ROUSE (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does BRANDON DOUGLAS ROUSE (OD) serve?
BRANDON DOUGLAS ROUSE (OD)'s listing highlights Kennett, Missouri; more addresses can appear in NPPES.
Is the information about BRANDON DOUGLAS ROUSE (OD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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