BRETT H LIESEMEYER (OD) – Optometrist, NPI 1225117518

BRETT H LIESEMEYER (OD) is a healthcare provider. based in Sedalia, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. T02629 (MO). The NPI Number for BRETT H LIESEMEYER (OD) is 1225117518

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
BRETT H LIESEMEYER (OD)
NPI
1225117518
Phone
(660) 826-6161
Address
3403 W 10TH ST
Enumeration Date
6 November 2006
Last Update Date
19 June 2008

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
6607472020
Graduation Year
1985 (41 years ago)
PAC ID
6204908882
Group Practice PAC ID
9931421187
Professional Enrollment ID
I20080627000046
Address ID
MO640939601WA601XXAVEX401
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 BRETT H LIESEMEYER (OD)

  • 3403, West 10th Street, Sedalia, Pettis County, Missouri, 65301, United States

    SEDALIA, MO 653012112

    Phone: (660) 826-6161

    Fax: (660) 826-8197

    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 3 Open Payments records for all available years, with a total value of $172.

Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Alcon Vision LLC ($120).

Total Amount

$172

General + Research + Ownership

Payments

3

Total payment records

General Amount

$172

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

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: 2008-06-27

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
I20080627000046IOptometryMOTBD

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 system381378$0
92250Photography of the retina228227$0
99213Established patient office or other outpatient visit, 20-29 minutes6052$0
66984Removal of cataract with insertion of prosthetic lens3524$0
92134Imaging of retina2929$0
View full utilization report →

Insurance plans in this area (ZIP 65301)

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Provider's Procedures

BRETT H LIESEMEYER (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMO92012Eye and medical examination for diagnosis and treatment, established patient3837
OPTOMETRYMO92083Measurement of field of vision during daylight conditions2827
OPTOMETRYMO92134Diagnostic imaging of retina5850

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: 9931421187View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMD
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YKS
O P T O M E T R YMO

Reviews

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Frequently asked questions

Can I verify BRETT H LIESEMEYER (OD) with an NPI only?
You can start verification with NPI 1225117518 for BRETT H LIESEMEYER (OD), then check state licensing separately.
Does CMS list BRETT H LIESEMEYER (OD) as active?
Yes — BRETT H LIESEMEYER (OD) is active in the NPI listing used on this page.
What is BRETT H LIESEMEYER (OD)'s primary classification?
Optometrist is the headline specialty for BRETT H LIESEMEYER (OD) here. Clinical services aligned with this taxonomy classification.
What address line appears for BRETT H LIESEMEYER (OD)?
BRETT H LIESEMEYER (OD)'s geographic hint is Sedalia, Missouri in our summary view.
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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