DR. BRADLEY ELLIOTT BORELLO (OD) – Optometrist, NPI 1225268451
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
Provider Addresses for DR. BRADLEY ELLIOTT BORELLO (OD)
900 BURGUNDY LN
BALLWIN, MO 630113584
Phone: (636) 305-7110
Fax: (636) 305-9509
Type: Mailing
1384 S 5TH ST
SAINT CHARLES, MO 633012444
Phone: (636) 946-9242
Fax: (636) 946-4903
Type: Mailing
12392 OLIVE BLVD
CREVE COEUR, MO 631416443
Phone: (314) 878-8770
Fax: (314) 878-5971
Type: Location
1384 S 5th St
Saint Charles, MO 633012444
Phone: (636) 946-9242
Fax: (636) 946-4903
Type: Location
1325 Queens Ct Ste G
Saint Peters, MO 633767375
Phone: (636) 441-8010
Fax: (636) 441-5128
Type: Location
1155 Wentzville Pkwy Ste 119
Wentzville, MO 633853476
Phone: (636) 639-9422
Fax: (636) 639-6713
Type: Location
532, Old Smizer Mill Road, Fenton Crossing, Fenton, Saint Louis County, Missouri, 63026, United States
FENTON, MO 630263538
Phone: (636) 305-7110
Fax: (636) 305-9509
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $1,260.
Total Amount is formed as General ($1,260) + Research ($0) + Ownership ($0) = $1,260.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: CooperVision Inc. ($753).
Total Amount
$1,260
General + Research + Ownership
Payments
26
Total payment records
General Amount
$1,260
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $753 |
| Bausch & Lomb Americas Inc. | $260 |
| ABB Con-Cise Optical Group LLC | $135 |
| Sight Sciences, Inc. | $54 |
| Alcon Vision LLC | $39 |
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: 2010-07-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100727000810 | I | Optometry | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92250 | Photography of the retina | 113 | 104 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 54 | $0 |
| 92014 | Established patient complete exam of visual system | 65 | 63 | $0 |
| 92083 | Exam of visual field with extended testing | 33 | 31 | $0 |
| 92020 | Exam of the internal drainage system of eye | 31 | 30 | $0 |
Insurance plans in this area (ZIP 63011)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | MO | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 63 | 51 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MO | |
| - | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO |
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