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BRENT SEXAUER OD
NPI 1013534890
Optometrist in Boise, ID

Active since June 29, 2020PECOS EnrolledAccepts Medicare Assignment
1175 W BOISE AVE, BOISE, ID 83706(208) 384-9194 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brent Sexauer Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENT SEXAUER OD (NPI 1013534890) is an individual optometrist in Boise, Idaho, licensed in Idaho (100508) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2020).

NPPES Registry Identity

NPI1013534890
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRENT SEXAUERCredential: OD
Location Address1175 W BOISE AVEBoise, ID 83706-3503
Mailing Address685 N 4th EMountain Home, ID 83647-2134 · (208) 599-4744
Phone(208) 384-9194
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2020
Enumeration DateJune 29, 2020
NPPES CertifiedJune 29, 2020
✔ NPI 1013534890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ID · 100508
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1175 W BOISE AVE, Boise, ID 83706
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brent Sexauer Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729402359
PECOS Enrollment IDI20200715003284
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Brent Sexauer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Idaho Eyecare Center
Same address
Optometrist
1175 W BOISE AVE
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 6 clinicians in this Medicare group
NPI 1992899181 (208) 384-9194
Family Vision Care Inc
41 mi
Optometrist
455 N 3RD E
Mountain Home, ID 83647
  • Reassigned Medicare billing, Idaho enrollment
NPI 1881327526 (208) 587-3661

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
91 services90 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
70 services70 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services28 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
28 services28 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
22 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ZACKARY NATHAN HALL O.D.
Optometrist
1175 W BOISE AVE
BOISE, ID 83706
Ada County (208) 384-9194
DR. MATTHEW MUTO O.D.
Optometrist
1175 W BOISE AVE
BOISE, ID 83706
Ada County (208) 384-9194
DR. DEREK GEORGE MUTO ODP
Optometrist
1175 W BOISE AVE
BOISE, ID 83706
Ada County (208) 384-9194
DR. JOHN HOWARD MUTO O.D.
Optometrist
1175 W BOISE AVE
BOISE, ID 83706
Ada County (208) 384-9194
IDAHO EYECARE CENTER
Optometrist
1175 W BOISE AVE
BOISE, ID 83706
Ada County (208) 384-9194

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Sexauer's NPI number?

The NPI number for Brent Sexauer is 1013534890. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Where is Brent Sexauer located?

Brent Sexauer practices at 1175 W Boise Ave, Boise, ID 83706. The listed phone number is (208) 384-9194.

What is Brent Sexauer's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Brent Sexauer enrolled in Medicare?

Yes. Brent Sexauer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brent Sexauer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brent Sexauer reassigns Medicare benefits to 2 organizations: Idaho Eyecare Center (Boise, ID) and Family Vision Care Inc (Mountain Home, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brent Sexauer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brent Sexauer accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Moda Health Plan, Inc. and 3 other insurers list Brent Sexauer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brent Sexauer was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.