BRETT D KOONS (O.D.) – Optometrist, NPI 1083893192

BRETT D KOONS (O.D.) is a healthcare provider. based in Camdenton, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2007031193 (MO). The NPI Number for BRETT D KOONS (O.D.) is 1083893192

Main info

Male
19 Years Of Experience
Name
BRETT D KOONS (O.D.)
NPI
1083893192
Phone
(573) 346-7899
Address
PO BOX 1314
Enumeration Date
25 October 2007
Last Update Date
25 October 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
5733467899
Graduation Year
2007 (19 years ago)
PAC ID
3476643131
Group Practice PAC ID
0345217170
Professional Enrollment ID
I20071218000389
Address ID
MO650207087CA323XX104X500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

Provider Addresses for BRETT D KOONS (O.D.)

  • PO BOX 1314

    CAMDENTON, MO 650201314

    Phone: (573) 346-7899

    Fax: (573) 346-7744

    Type: Mailing

  • 323 E HIGHWAY 54

    SUITE 104

    CAMDENTON, MO 650209599

    Phone: (573) 346-7899

    Fax: (573) 346-7744

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $154.

Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($66).

Total Amount

$154

General + Research + Ownership

Payments

8

Total payment records

General Amount

$154

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: 2007-12-18

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
I20071218000389IOptometryMOTBD

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 minutes132126$0
92250Photography of the retina9998$0
99203New patient office or other outpatient visit, 30-44 minutes4242$0
66984Removal of cataract with insertion of prosthetic lens2723$0
99212Established patient office or other outpatient visit, 10-19 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 65020)

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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: 0345217170View full group profile
NameSpecialtyState
O P T O M E T R YMO

Reviews

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Frequently asked questions

What number should I use to identify BRETT D KOONS (O.D.) for billing?
Administrative and clinical systems typically use NPI 1083893192 for BRETT D KOONS (O.D.).
Is BRETT D KOONS (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists BRETT D KOONS (O.D.) as active.
What type of care does BRETT D KOONS (O.D.) provide?
BRETT D KOONS (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to BRETT D KOONS (O.D.)?
The directory associates BRETT D KOONS (O.D.) with Camdenton, Missouri. 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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