DR. COURT RUSSELL WILKINS (O.D.) – Optometrist, NPI 1780679613

DR. COURT RUSSELL WILKINS (O.D.) is a healthcare provider. based in Bountiful, Utah. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 04409T (TX). The NPI Number for DR. COURT RUSSELL WILKINS (O.D.) is 1780679613

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. COURT RUSSELL WILKINS (O.D.)
NPI
1780679613
Phone
(928) 899-6527
Address
3046 SOUTH 400 WEST
Enumeration Date
16 September 2005
Last Update Date
31 May 2024

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
8014760494
Graduation Year
1990 (36 years ago)
PAC ID
8729200787
Group Practice PAC ID
2860474962
Professional Enrollment ID
I20141107000969
Address ID
UT840107408BO214XX1500301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:20State licenses:2Digital endpointsOther names

312 OPTOMETRY in UT

Provider Addresses for DR. COURT RUSSELL WILKINS (O.D.)

  • 3046, 400 West, Val Verda, Bountiful, Davis County, Utah, 84010, United States

    BOUNTIFUL, UT 84010

    Phone: (928) 899-6527

    Type: Mailing

  • 214 W 1500 S Ste 300

    Bountiful, UT 840107408

    Phone: (801) 476-0494

    Fax: (801) 677-1144

    Type: Location

  • 122 E 1700 S Bldg 3

    Provo, UT 846065644

    Phone: (385) 248-5551

    Type: Location

  • 1873 S 1030 W

    OREM, UT 840588141

    Phone: (928) 899-6527

    Type: Mailing

  • 4360 WASHIGHTON BLVD

    OGDEN, UT 84403

    Phone: (801) 476-0494

    Type: Location

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 $249.

Total Amount is formed as General ($249) + Research ($0) + Ownership ($0) = $249.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($125).

Total Amount

$249

General + Research + Ownership

Payments

7

Total payment records

General Amount

$249

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2014-11-07

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
I20141107000969IOptometryUTTBD

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 system5654$0
92134Imaging of retina2424$0
92004New patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 84010)

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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: 2860474962View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOK
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
O P T O M E T R YWY
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YUT
-UT
O P H T H A L M O L O G YUT
-UT

Reviews

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Frequently asked questions

What is DR. COURT RUSSELL WILKINS (O.D.)'s NPI number?
DR. COURT RUSSELL WILKINS (O.D.)'s NPI is 1780679613 — the number used across U.S. healthcare to identify this provider.
Would DR. COURT RUSSELL WILKINS (O.D.) appear as active to a payer?
You can treat DR. COURT RUSSELL WILKINS (O.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. COURT RUSSELL WILKINS (O.D.)'s focus?
For DR. COURT RUSSELL WILKINS (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. COURT RUSSELL WILKINS (O.D.) located near Bountiful?
DR. COURT RUSSELL WILKINS (O.D.) currently maps to Bountiful, Utah in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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