TARA BRACKLEY OD
NPI 1144633702
Optometrist in Fayetteville, NY
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
Specialties & Licenses
Other Identifiers 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Tara Brackley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13224
- Reassigned Medicare billing, New York enrollment
- 243 clinicians in this Medicare group
Liverpool, NY 13088
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Eye Surgeons Of Central New York, P.C.
- 6 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 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.
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.
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.
Reported Quality Measures
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.
FAYETTEVILLE, NY 13066
FAYETTEVILLE, NY 13066
FAYETTEVILLE, NY 13066
FAYETTEVILLE, NY 13066
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.
Which organizations bill Medicare for Tara Brackley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Brackley reassigns Medicare benefits to 2 organizations: Empire Vision Center Inc (Syracuse, NY) and Eye Surgeons Of Central New York, PC (Liverpool, NY). 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 Tara Brackley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Brackley accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health 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.
# Tara Brackley, OD · NPI 1144633702
Optometrist provider in Fayetteville, New York. Individual provider, active in the CMS NPPES registry since June 11, 2014.
## Identity
- **NPI:** 1144633702 (Entity type: Individual)
- **Enumerated:** June 11, 2014
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TUV008116 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4000 MEDICAL CENTER DR, SUITE 207, Fayetteville, NY 13066-6631
- **Phone:** (315) 637-1010 · **Fax:** (315) 637-2010
## 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): Empire Vision Center Inc (NPI 1750358826, Syracuse, NY); Eye Surgeons Of Central New York, PC (NPI 1881725810, Liverpool, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New England College Of Optometry, class of 2014
## Record status
- **NPPES last updated:** June 11, 2014
- **Other identifiers:** Other TUV008116 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1144633702) · Data from the CMS NPPES public registry.