MICHAEL BRIAN WATTERS (OD) – Optometrist, NPI 1164586699
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
684 OPTOMETRY in OK
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Provider Addresses for MICHAEL BRIAN WATTERS (OD)
2020, North Harrison Street, Shawnee, Pottawatomie County, Oklahoma, 74804, United States
SHAWNEE, OK 748043141
Phone: (405) 273-7075
Fax: (405) 273-7405
Type: Mailing
2020, Southwest Harrison Street, Topeka, Shawnee County, Kansas, 66612, United States
SHAWNEE, OK 74804
Phone: (405) 273-7075
Fax: (405) 273-7405
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2003-11-19
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 |
|---|---|---|---|---|
| I20031119000902 | I | Optometry | OK | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 366 | 361 | $0 |
| 92250 | Photography of the retina | 84 | 82 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 71 | 41 | $0 |
| 92004 | New patient complete exam of visual system | 70 | 70 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 48 | $0 |
Insurance plans in this area (ZIP 74804)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | OK | 92083 | Measurement of field of vision during daylight conditions | 20 | 18 |
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