1. Home
  2. Directory
  3. New York
  4. Fayetteville
  5. Optometrist
  6. NPI Profile

TARA BRACKLEY OD
NPI 1144633702
Optometrist in Fayetteville, NY

Active since June 11, 2014PECOS EnrolledAccepts Medicare Assignment
68.15/100
CMS Quality Rating
4000 MEDICAL CENTER DR, SUITE 207, FAYETTEVILLE, NY 13066(315) 637-1010(315) 637-2010 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tara Brackley Od NPPES

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

TARA BRACKLEY OD (NPI 1144633702) is an individual optometrist in Fayetteville, New York, licensed in New York (TUV008116) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2014).

NPPES Registry Identity

NPI1144633702
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameTARA BRACKLEYCredential: OD
Location Address4000 MEDICAL CENTER DR, SUITE 207Fayetteville, NY 13066-6631
Mailing Address6221 State Route 31, Suite 104Cicero, NY 13039-8715 · (315) 752-0141 · Fax (315) 752-0142
Phone(315) 637-1010
Fax(315) 637-2010
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2014
Enumeration DateJune 11, 2014
✔ NPI 1144633702 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 NY · TUV008116
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.
4000 MEDICAL CENTER DR, Fayetteville, NY 13066
Open in Google Maps ↗

Other Identifiers 1

OtherTUV008116NY · Nys License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.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

Tara Brackley 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 ID6709003965
PECOS Enrollment IDI20140812000462
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 10

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
273 services249 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
144 services130 patients
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg J1096
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.
116 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
103 services66 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
93 services91 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.
87 services87 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

68.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability71
Improvement Activities40
Cost18.01

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%49 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%103 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

RUI WANG
Acupuncturist
4000 MEDICAL CENTER DR, SUITE 209
FAYETTEVILLE, NY 13066
Onondaga County (315) 329-7666
UNITY MOVE PHYSICAL THERAPY WELLNESS PLLC
Clinic/Center (Physical Therapy)
4000 MEDICAL CENTER DR, STE 108
FAYETTEVILLE, NY 13066
Onondaga County (315) 961-6007
GERARD S RODZIEWICZ MD
Neurological Surgery
4000 MEDICAL CENTER DR, SUITE 108
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-7900
DEVYN LEIGH HARDY FNP-C
Nurse Practitioner (Family)
4000 MEDICAL CENTER DR, UNIT 110
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
ROSHAN GHIMIRE MD
Family Medicine
4000 MEDICAL CENTER DR, SUITE 104
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-7878
DENISE C. WOLKEN, MD PLLC
Pediatrics
4000 MEDICAL CENTER DR, SUITE 214
FAYETTEVILLE, NY 13066
Onondaga County (315) 991-4180
LAUREN KRISAK GILKEY RPA-C
Physician Assistant
4000 MEDICAL CENTER DR, SUITE 101 D
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-7878
DR. BETH THOMAS WIEDEMAN MD.
Family Medicine
4000 MEDICAL CENTER DR, SUITE 104
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0059

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 Tara Brackley's NPI number?

The NPI number for Tara Brackley is 1144633702. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Tara Brackley located?

Tara Brackley practices at 4000 Medical Center Dr Suite 207, Fayetteville, NY 13066. The listed phone number is (315) 637-1010.

What is Tara Brackley's specialty?

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

Is Tara Brackley enrolled in Medicare?

Yes. Tara Brackley 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 Tara Brackley accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Tara Brackley 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 Tara Brackley was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.