BRADLEY CALLISTER OD
NPI 1033639349
Optometrist in San Clemente, CA

Active since June 27, 2017PECOS EnrolledAccepts Medicare Assignment
140 AVENIDA DEL MAR, SAN CLEMENTE, CA 92672(949) 492-1853 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 11, 2019, Apr 16, 2018, Aug 14, 2017 and 1 more (4 updates tracked since 2017).

About Bradley Callister Od NPPES

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

BRADLEY CALLISTER OD (NPI 1033639349) is an individual optometrist in San Clemente, California, licensed in California (33717TLG) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2017).

NPPES Registry Identity

NPI1033639349
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRADLEY CALLISTERCredential: OD
Location Address140 AVENIDA DEL MARSan Clemente, CA 92672-4016
Mailing Address140 Avenida Del MarSan Clemente, CA 92672-4016
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2017
Enumeration DateJune 27, 2017
Last NPPES UpdateFebruary 11, 20194 updates tracked since enumeration
NPI 1033639349 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 CA · 33717TLG
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.

140 AVENIDA DEL MAR, San Clemente, CA 92672

Accepted 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

Bradley Callister 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 ID2860767068
PECOS Enrollment IDI20171012003567
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 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.

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.
98 services98 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.
94 services94 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.
58 services52 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.
30 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92672 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 3

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

Eyewear Supplier
140 AVENIDA DEL MAR
SAN CLEMENTE, CA 92672
Optometrist
140 AVENIDA DEL MAR
SAN CLEMENTE, CA 92672
Optometrist
140 AVENIDA DEL MAR
SAN CLEMENTE, CA 92672

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 Bradley Callister's NPI number?

The NPI number for Bradley Callister is 1033639349. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Bradley Callister located?

Bradley Callister practices at 140 Avenida Del Mar, San Clemente, CA 92672. The listed phone number is (949) 492-1853.

What is Bradley Callister's specialty?

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

Is Bradley Callister enrolled in Medicare?

Yes. Bradley Callister 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.

What insurance does Bradley Callister accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Bradley Callister 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 Bradley Callister was last updated on February 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.