WESLEY BENJAMIN RUSHING (OD) – Optometrist, NPI 1699469338

WESLEY BENJAMIN RUSHING (OD) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2023021100 (MO). The NPI Number for WESLEY BENJAMIN RUSHING (OD) is 1699469338

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
WESLEY BENJAMIN RUSHING (OD)
NPI
1699469338
Phone
Not provided
Address
1208 PEBBLES LN
Enumeration Date
6 June 2023
Last Update Date
6 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4178862020
Graduation Year
2023 (3 years ago)
PAC ID
1153789532
Group Practice PAC ID
7618091240
Professional Enrollment ID
I20230615003743
Address ID
MO658041211SP1441XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

Provider Addresses for WESLEY BENJAMIN RUSHING (OD)

  • 1208 PEBBLES LN

    TAHLEQUAH, OK 744644256

    Phone:

    Type: Mailing

  • 1441 E SUNSHINE ST

    SPRINGFIELD, MO 658041242

    Phone: (417) 886-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $601.

Total Amount is formed as General ($601) + Research ($0) + Ownership ($0) = $601.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($383).

Total Amount

$601

General + Research + Ownership

Payments

27

Total payment records

General Amount

$601

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

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: 2023-06-15

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
I20230615003743IOptometryMOTBD

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 74464)

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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: 7618091240View full group profile
NameSpecialtyState
-MO
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 YMO

Reviews

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Frequently asked questions

How is WESLEY BENJAMIN RUSHING (OD) identified in CMS data?
CMS-hosted NPPES data lists WESLEY BENJAMIN RUSHING (OD) with NPI 1699469338.
Is WESLEY BENJAMIN RUSHING (OD) listed as active for patients and plans?
The listing shows WESLEY BENJAMIN RUSHING (OD) as active in the NPI system.
What is WESLEY BENJAMIN RUSHING (OD) best known for clinically?
Directory data describes WESLEY BENJAMIN RUSHING (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is WESLEY BENJAMIN RUSHING (OD) based?
WESLEY BENJAMIN RUSHING (OD) is tied to Tahlequah, Oklahoma in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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