DR. DAKOTA SMITH WALDROOP (O.D.) – Optometrist, NPI 1346471711

DR. DAKOTA SMITH WALDROOP (O.D.) is a healthcare provider. based in Talihina, Oklahoma. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2628 (OK). The NPI Number for DR. DAKOTA SMITH WALDROOP (O.D.) is 1346471711

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAKOTA SMITH WALDROOP (O.D.)
NPI
1346471711
Phone
(918) 457-7000
Address
1 CHOCTAW WAY
Enumeration Date
4 August 2009
Last Update Date
12 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5805662530
Graduation Year
2009 (17 years ago)
PAC ID
4486709359
Group Practice PAC ID
9537189261
Professional Enrollment ID
I20160120001993
Address ID
OK747272072BO415XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Digital endpointsOther names

684 OPTOMETRY in OK

Provider Addresses for DR. DAKOTA SMITH WALDROOP (O.D.)

  • 1 CHOCTAW WAY

    TALIHINA, OK 745712022

    Phone: (918) 457-7000

    Type: Location

  • 2008 CHOCTAW RDG

    TALIHINA, OK 745712040

    Phone: (918) 567-7000

    Type: Mailing

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 $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-06-10 • Largest payer in this snapshot: ALK-Abello, Inc ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ALK-Abello, Inc$24
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: 2016-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090827000750IOptometryTXTBD
I20160120001993IOptometryOKTBD

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 system143143$0
92250Photography of the retina141115$0
99213Established patient office or other outpatient visit, 20-29 minutes4839$0
92134Imaging of retina2423$0
92083Exam of visual field with extended testing1918$0
View full utilization report →

Insurance plans in this area (ZIP 74571)

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Provider's Procedures

DR. DAKOTA SMITH WALDROOP (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOK92012Eye and medical examination for diagnosis and treatment, established patient1212
OPTOMETRYOK92083Measurement of field of vision during daylight conditions2323
OPTOMETRYOK92134Diagnostic imaging of retina6551

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: 9537189261View full group profile
NameSpecialtyState
Nurse PractitionerOK
O P T O M E T R YOK
Clinical Social WorkerOK
Dermatology, Family PracticeOK
-OK
Nurse PractitionerOK
C H I R O P R A C T I COK
-OK
Family PracticeOK
Marriage And Family TherapistOK

Reviews

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Frequently asked questions

Is there an official ID for DR. DAKOTA SMITH WALDROOP (O.D.) in U.S. healthcare records?
The official identifier for DR. DAKOTA SMITH WALDROOP (O.D.) is NPI 1346471711.
Active or inactive — what applies to DR. DAKOTA SMITH WALDROOP (O.D.)?
You should see DR. DAKOTA SMITH WALDROOP (O.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. DAKOTA SMITH WALDROOP (O.D.)?
DR. DAKOTA SMITH WALDROOP (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Where in Oklahoma is DR. DAKOTA SMITH WALDROOP (O.D.) registered?
Use Talihina, Oklahoma as the headline location for DR. DAKOTA SMITH WALDROOP (O.D.) here.
Does DR. DAKOTA SMITH WALDROOP (O.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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