DR. BRENT ROBERTS OD
NPI 1114440138
Optometrist in Tahlequah, OK
About Dr. Brent Roberts Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRENT ROBERTS OD (NPI 1114440138) is an individual optometrist in Tahlequah, Oklahoma, licensed in Oklahoma (2949) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Creek Nation Community Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Brent Roberts 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.
Medicare Billing Reassignments
2Medicare enrollment records show Brent Roberts reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tahlequah, OK 74464
- Reassigned Medicare billing, Oklahoma enrollment
- 96 clinicians in this Medicare group
Muskogee, OK 74401
- Reassigned Medicare billing, Texas enrollment
- 655 clinicians in this Medicare group
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 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Creek Nation Community Hospital
Critical Access Hospitals · Okemah, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74464 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAHLEQUAH, OK 74464
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 Roberts's NPI number?
The NPI number for Brent Roberts is 1114440138. It was assigned to this individual provider in the NPPES registry on July 21, 2017.
Where is Brent Roberts located?
Brent Roberts practices at 1001 N Grand Ave, Tahlequah, OK 74464. The listed phone number is (918) 444-2109.
What is Brent Roberts's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Brent Roberts enrolled in Medicare?
Yes. Brent Roberts 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 Roberts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brent Roberts reassigns Medicare benefits to 2 organizations: Northeastern State University College Of Optometry (Tahlequah, OK) and Creek Nation Hospital & Clinics (Muskogee, OK). 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 Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brent Roberts accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Brent Roberts 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.
Is Brent Roberts affiliated with any hospitals?
According to CMS data, Brent Roberts is affiliated with Creek Nation Community Hospital.
When was this NPI record last updated?
The NPPES record for Brent Roberts was last updated on July 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Brent Roberts, OD · NPI 1114440138
Optometrist provider in Tahlequah, Oklahoma. Individual provider, active in the CMS NPPES registry since July 21, 2017.
## Identity
- **NPI:** 1114440138 (Entity type: Individual)
- **Enumerated:** July 21, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2949 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 N GRAND AVE, Tahlequah, OK 74464-7017
- **Phone:** (918) 444-2109
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Northeastern State University College Of Optometry (NPI 1437106333, Tahlequah, OK); Creek Nation Hospital & Clinics (NPI 1922873611, Muskogee, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 21, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1114440138) · Data from the CMS NPPES public registry.