DR. PETER G BAKO (OD) – Optometrist, NPI 1629590450

DR. PETER G BAKO (OD) is a healthcare provider. based in Idabel, Oklahoma. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 9213T (TX). The NPI Number for DR. PETER G BAKO (OD) is 1629590450

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER G BAKO (OD)
NPI
1629590450
Phone
(580) 286-6000
Address
1425 E Lincoln Rd
Enumeration Date
13 July 2017
Last Update Date
3 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9033295051
Graduation Year
2017 (9 years ago)
PAC ID
8325319304
Professional Enrollment ID
I20170809003676
Address ID
OK747455423ID2020XWASH300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

684 OPTOMETRY in OK

Provider Addresses for DR. PETER G BAKO (OD)

  • 1425 E Lincoln Rd

    Idabel, OK 747457345

    Phone: (580) 286-6000

    Fax: (580) 286-6015

    Type: Location

  • 2703, Richmond Road, Texarkana, Bowie County, Texas, 75503, United States

    TEXARKANA, TX 755032328

    Phone: (903) 838-0783

    Fax: (903) 831-6145

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($65).

Total Amount

$110

General + Research + Ownership

Payments

4

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2018-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20170809003205IOptometryTXTBD
I20170809003676IOptometryOKTBD
I20181017001272IOptometryARTBD

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
92004New patient complete exam of visual system170170$0
66984Removal of cataract with insertion of prosthetic lens5430$0
92014Established patient complete exam of visual system4638$0
66821Removal of recurring cataract in lens capsule using a laser4029$0
92012Established patient problem focused exam of visual system2821$0
View full utilization report →

Insurance plans in this area (ZIP 74745)

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Reviews

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Frequently asked questions

How is DR. PETER G BAKO (OD) identified in CMS data?
CMS-hosted NPPES data lists DR. PETER G BAKO (OD) with NPI 1629590450.
Is DR. PETER G BAKO (OD) listed as active for patients and plans?
The listing shows DR. PETER G BAKO (OD) as active in the NPI system.
What taxonomy line describes DR. PETER G BAKO (OD)?
For research purposes, treat DR. PETER G BAKO (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. PETER G BAKO (OD) based?
DR. PETER G BAKO (OD) is tied to Idabel, Oklahoma in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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