BAYLEY MARIE BRUNCK OD
NPI 1013569243
Optometrist in Bloomington, IN

Q: What is Bayley Brunck's NPI number?

The NPI number for Bayley Brunck is 1013569243. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Q: What is Bayley Brunck's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bayley Brunck was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 09, 2019PECOS EnrolledAccepts Medicare Assignment

1105 S COLLEGE MALL RD, BLOOMINGTON, IN 47401(812) 333-2020(812) 334-2020 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 29, 2020, Sep 3, 2019, Jul 9, 2019 (3 updates tracked since 2019).

On this page

About Bayley Marie Brunck Od NPPES

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

BAYLEY MARIE BRUNCK OD (NPI 1013569243) is an individual optometrist in Bloomington, Indiana, licensed in Indiana (18004177A) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2019).

NPPES Registry Identity

NPI1013569243

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameBAYLEY MARIE BRUNCKCredential: OD

Location Address1105 S COLLEGE MALL RDBloomington, IN 47401-6177

Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 223-6780

Phone(812) 333-2020

Fax(812) 334-2020

Sole ProprietorYes

Medical School CMSIndiana University - School Of OptometryGraduated 2019

Enumeration DateJuly 9, 2019

Last NPPES UpdateOctober 28, 20213 updates tracked since enumeration

NPPES CertifiedOctober 28, 2021

✔ NPI 1013569243 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 IN · 18004177A

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.

1105 S COLLEGE MALL RD, Bloomington, IN 47401

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bayley Marie Brunck 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 ID8921422635

PECOS Enrollment IDI20200728000150

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.

Areas of Expertise CMS Part B claims 2

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.

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.

16 services15 patients

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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47401 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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. ALYSSA VANWERDEN OD

Optometrist