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BRETT K RADOW O.D.
NPI 1154315992
Optometrist in Spencer, WV

Active since September 08, 2005PECOS Enrolled
149 MAIN ST, SPENCER, WV 25276(304) 927-5112 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2023, Mar 7, 2019 (2 updates tracked since 2019).

About Brett K Radow O.d. NPPES

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

BRETT K RADOW O.D. (NPI 1154315992) is an individual optometrist in Spencer, West Virginia, licensed in West Virginia (WV0730) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154315992
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRETT K RADOWCredential: O.D.
Location Address149 MAIN STSpencer, WV 25276-1414
Mailing Address200 Hospital DrSpencer, WV 25276-1050 · (304) 927-6884
Phone(304) 927-5112
Sole ProprietorYes
Enumeration DateSeptember 8, 2005
Last NPPES UpdateFebruary 9, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
✔ NPI 1154315992 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 WV · WV0730
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.
149 MAIN ST, Spencer, WV 25276
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Other Identifiers 2

Medicaid0150656000WV
Other001720163WV · Bluecross Blueshield

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, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brett K Radow O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Brett Radow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospital Development Co
1.3 mi
Emergency Medicine
200 HOSPITAL DR
Spencer, WV 25276
  • Reassigned Medicare billing, West Virginia enrollment
  • 90 clinicians in this Medicare group
NPI 1184721581 (304) 927-4444

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25276 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

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%114 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
97%979 patients4/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
39%979 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%979 patients1/55-star benchmark: 59%
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.

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 Brett Radow's NPI number?

The NPI number for Brett Radow is 1154315992. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Brett Radow located?

Brett Radow practices at 149 Main St, Spencer, WV 25276. The listed phone number is (304) 927-5112.

What is Brett Radow's specialty?

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

Is Brett Radow enrolled in Medicare?

Yes. Brett Radow is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brett Radow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brett Radow reassigns Medicare benefits to Hospital Development Co (Spencer, WV). The 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 Brett Radow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brett Radow accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, CareSource and Highmark Blue Cross Blue Shield West Virginia list Brett Radow 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 Brett Radow was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.