GREG M. PICKETT (O.D.) – Optometrist, NPI 1639155617

GREG M. PICKETT (O.D.) is a healthcare provider. based in Ogden, Utah. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3087349934 (UT). The NPI Number for GREG M. PICKETT (O.D.) is 1639155617

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
GREG M. PICKETT (O.D.)
NPI
1639155617
Phone
(801) 399-9873
Address
1196 30TH ST
Enumeration Date
21 December 2005
Last Update Date
11 September 2008

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
3678649480
Professional Enrollment ID
I20080911000464
Address ID
UT844030353Og1196XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

312 OPTOMETRY in UT

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Provider Addresses for GREG M. PICKETT (O.D.)

  • 1196, 30th Street, Ogden, Weber County, Utah, 84403, United States

    OGDEN, UT 844030353

    Phone: (801) 399-9873

    Fax: (801) 399-2013

    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)

CMS reports 7 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($109).

Total Amount

$121

General + Research + Ownership

Payments

7

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2008-09-11

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
I20080911000464IOptometryUTTBD

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 system3838$0
92004New patient complete exam of visual system1212$0
View full utilization report →

Insurance plans in this area (ZIP 84403)

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Reviews

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Frequently asked questions

What identifier follows GREG M. PICKETT (O.D.) across health systems?
The NPI 1639155617 uniquely identifies GREG M. PICKETT (O.D.) in U.S. healthcare data.
Should I treat GREG M. PICKETT (O.D.) as an active provider?
Patients and plans typically see GREG M. PICKETT (O.D.) as active in the national extract.
What type of care does GREG M. PICKETT (O.D.) provide?
GREG M. PICKETT (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to GREG M. PICKETT (O.D.)?
GREG M. PICKETT (O.D.) shows a connection to Ogden, Utah in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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