LINCOLN BANGERTER – Optometrist, NPI 1225878887

LINCOLN BANGERTER is a healthcare provider. based in Elko, Nevada. specializing in OPTOMETRY. They hold a License No. 1194 (NV). The NPI Number for LINCOLN BANGERTER is 1225878887

Main info

Male
Accepts Medicare Assignment
Name
LINCOLN BANGERTER
NPI
1225878887
Phone
(385) 309-7182
Address
2135 SIERRA DR
Enumeration Date
30 May 2024
Last Update Date
30 May 2024

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
7757386727
Graduation Year
null (2026 years ago)
PAC ID
8022552231
Group Practice PAC ID
6204995954
Professional Enrollment ID
I20240628001721
Address ID
NV898012809EL1657XHWYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

386 OPTOMETRY in NV

Provider Addresses for LINCOLN BANGERTER

  • 2135 SIERRA DR

    ELKO, NV 898014560

    Phone: (385) 309-7182

    Type: Mailing

  • 1657 MOUNTAIN CITY HWY STE 101

    ELKO, NV 898012809

    Phone: (775) 738-6727

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($88).

Total Amount

$88

General + Research + Ownership

Payments

1

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

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: 2024-06-28

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
I20240628001721IOptometryNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89801)

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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: 6204995954View full group profile
NameSpecialtyState
O P T O M E T R YNV

Reviews

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Frequently asked questions

What is LINCOLN BANGERTER's NPI number?
LINCOLN BANGERTER's NPI is 1225878887 — the number used across U.S. healthcare to identify this provider.
Would LINCOLN BANGERTER appear as active to a payer?
You can treat LINCOLN BANGERTER as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is LINCOLN BANGERTER?
LINCOLN BANGERTER is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Where in Nevada is LINCOLN BANGERTER registered?
Use Elko, Nevada as the headline location for LINCOLN BANGERTER here.
When was this NPI issued?
Enumeration for LINCOLN BANGERTER is noted as May 30, 2024 where the registry provides it.

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