BRADLEY ALAN BYERGO (OD) – Optometrist, NPI 1336272285

BRADLEY ALAN BYERGO (OD) is a healthcare provider. based in Ballwin, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2002015240 (MO). The NPI Number for BRADLEY ALAN BYERGO (OD) is 1336272285

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY ALAN BYERGO (OD)
NPI
1336272285
Phone
(314) 540-0231
Address
341 ELMCREST DR
Enumeration Date
13 March 2007
Last Update Date
29 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
3148788770
Graduation Year
2002 (24 years ago)
PAC ID
2365500097
Group Practice PAC ID
3870651508
Professional Enrollment ID
I20081023000675
Address ID
MO631416443CR12392BLVD300
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

863 OPTOMETRY in MO

Provider Addresses for BRADLEY ALAN BYERGO (OD)

  • 341 ELMCREST DR

    BALLWIN, MO 63011

    Phone: (314) 540-0231

    Type: Mailing

  • 1384 S FIFTH STREET

    ST CHARLES, MO 63301

    Phone: (636) 946-9242

    Fax: (636) 946-4903

    Type: Location

  • 1384 S Fifth Street

    St Charles, MO 63301

    Phone: (636) 946-9242

    Fax: (636) 946-4903

    Type: Location

  • 1384 S 5TH ST

    SAINT CHARLES, MO 633012444

    Phone: (636) 946-9242

    Fax: (636) 946-4903

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $1,597.

Total Amount is formed as General ($1,597) + Research ($0) + Ownership ($0) = $1,597.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: CooperVision Inc. ($816).

Total Amount

$1,597

General + Research + Ownership

Payments

38

Total payment records

General Amount

$1,597

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

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: 2008-10-23

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
I20081023000675IOptometryMOTBD

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
92250Photography of the retina140130$0
92014Established patient complete exam of visual system114113$0
68761Closure of tear duct opening using plug7823$0
99214Established patient office or other outpatient visit, 30-39 minutes1413$0
92012Established patient problem focused exam of visual system1313$0
View full utilization report →

Insurance plans in this area (ZIP 63011)

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Provider's Procedures

BRADLEY ALAN BYERGO (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 patient11776

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: 3870651508View 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 YMI
O P T O M E T R YMO
-MO
O P T O M E T R YMO
O P T O M E T R YMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRADLEY ALAN BYERGO (OD)?
BRADLEY ALAN BYERGO (OD) — NPI 1336272285 — is the standard way to identify this listing.
Does CMS list BRADLEY ALAN BYERGO (OD) as active?
Yes — BRADLEY ALAN BYERGO (OD) is active in the NPI listing used on this page.
What is BRADLEY ALAN BYERGO (OD) best known for clinically?
Directory data describes BRADLEY ALAN BYERGO (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is BRADLEY ALAN BYERGO (OD) based?
BRADLEY ALAN BYERGO (OD) is tied to Ballwin, Missouri in the data we show; additional addresses may exist on the full record.
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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