DR. BRENT PLAXICO (O.D.) – Optometrist, NPI 1922012962

DR. BRENT PLAXICO (O.D.) is a healthcare provider. based in Owasso, Oklahoma. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1412 (SC). The NPI Number for DR. BRENT PLAXICO (O.D.) is 1922012962

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENT PLAXICO (O.D.)
NPI
1922012962
Phone
(918) 376-2700
Address
12406 E 86TH ST N
Enumeration Date
27 July 2006
Last Update Date
25 January 2016

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Secondary Phone
9187210200
Graduation Year
2006 (20 years ago)
PAC ID
2961405386
Group Practice PAC ID
9739598343
Professional Enrollment ID
I20160130000019
Address ID
OK741337179TU10222DRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

684 OPTOMETRY in OK

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Provider Addresses for DR. BRENT PLAXICO (O.D.)

  • 12406, East 86th Street North, Owasso, Tulsa, Oklahoma, 74055, United States

    OWASSO, OK 740552500

    Phone: (918) 376-2700

    Mailing address matches the actual address.

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: 2016-01-30

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
I20160130000019IOptometryOKTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes6947$0
92014Established patient complete exam of visual system6767$0
92004New patient complete exam of visual system4141$0
66984Removal of cataract with insertion of prosthetic lens2517$0
92133Imaging of optic nerve1611$0
View full utilization report →

Insurance plans in this area (ZIP 74055)

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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: 9739598343View full group profile
NameSpecialtyState
O P T O M E T R YPA
O P T O M E T R YOK

Reviews

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Frequently asked questions

What is DR. BRENT PLAXICO (O.D.)'s NPI number?
DR. BRENT PLAXICO (O.D.)'s NPI is 1922012962 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. BRENT PLAXICO (O.D.)?
For scheduling context, DR. BRENT PLAXICO (O.D.) is shown as active in the registry.
What area of care is associated with DR. BRENT PLAXICO (O.D.)?
DR. BRENT PLAXICO (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. BRENT PLAXICO (O.D.)?
Directory geography for DR. BRENT PLAXICO (O.D.) centers on Owasso, Oklahoma.
Can I trust this NPI listing for DR. BRENT PLAXICO (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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