DR. BLAINE F BIRD (O.D.) – Optometrist, NPI 1871581652

DR. BLAINE F BIRD (O.D.) is a healthcare provider. based in Provo, Utah. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 114554-8908 (UT). The NPI Number for DR. BLAINE F BIRD (O.D.) is 1871581652

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. BLAINE F BIRD (O.D.)
NPI
1871581652
Phone
(801) 357-7373
Address
1055 N 300 W
Enumeration Date
6 October 2005
Last Update Date
10 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
8013577373
Graduation Year
1992 (34 years ago)
PAC ID
8527177609
Group Practice PAC ID
7810167392
Professional Enrollment ID
I20120131000335
Address ID
UT846043374PR1055XWXXX402

Contacts

Secure Messaging
BlaineBird@direct-address.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

312 OPTOMETRY in UT

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Provider Addresses for DR. BLAINE F BIRD (O.D.)

  • 1055, North 300 West, North Park, Provo, Utah County, Utah, 84604, United States

    SUITE 204

    PROVO, UT 846043344

    Phone: (801) 357-7373

    Fax: (801) 357-7217

    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 11 Open Payments records for all available years, with a total value of $231.

Total Amount is formed as General ($231) + Research ($0) + Ownership ($0) = $231.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Alcon Vision LLC ($70).

Total Amount

$231

General + Research + Ownership

Payments

11

Total payment records

General Amount

$231

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2012-01-31

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
I20120131000335IOptometryUTTBD

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 system254218$0
92134Imaging of retina118106$0
92250Photography of the retina109102$0
92012Established patient problem focused exam of visual system8554$0
92083Exam of visual field with extended testing3223$0
View full utilization report →

Insurance plans in this area (ZIP 84604)

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Provider's Procedures

DR. BLAINE F BIRD (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYUT92012Eye and medical examination for diagnosis and treatment, established patient3020

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: 7810167392View full group profile
NameSpecialtyState
Nurse PractitionerUT
O P T O M E T R YUT
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 YUT
-UT
O P T O M E T R YUT
O P T O M E T R YUT
-UT
O P T O M E T R YUT

Reviews

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Frequently asked questions

Does DR. BLAINE F BIRD (O.D.) have a public NPI I can cite?
Public records show DR. BLAINE F BIRD (O.D.) under NPI 1871581652.
Does the public listing show DR. BLAINE F BIRD (O.D.) as active?
DR. BLAINE F BIRD (O.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. BLAINE F BIRD (O.D.)'s specialty?
The extract shows Optometrist for DR. BLAINE F BIRD (O.D.). Clinical services aligned with this taxonomy classification.
Is DR. BLAINE F BIRD (O.D.) tied to Provo, Utah?
If you are local to Provo, Utah, DR. BLAINE F BIRD (O.D.) may be relevant to your search.
Who maintains DR. BLAINE F BIRD (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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