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MR. OLIN W FENTON OD
NPI 1164416574
Optometrist in Talihina, OK

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
65.74/100
CMS Quality Rating
200 DALLAS ST, TALIHINA, OK 74571(918) 567-3424(918) 567-3420 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Olin W Fenton Od NPPES

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

MR. OLIN W FENTON OD (NPI 1164416574) is an individual optometrist in Talihina, Oklahoma, licensed in Oklahoma (2417) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Choctaw Nation Health Services Authority, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1164416574
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. OLIN W FENTONCredential: OD
Location Address200 DALLAS STTalihina, OK 74571-2402
Mailing Address200 Dallas StTalihina, OK 74571-2402 · (918) 567-3424 · Fax (918) 567-3420
Phone(918) 567-3424
Fax(918) 567-3420
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 31, 2005
Last NPPES UpdateNovember 12, 2025
NPPES CertifiedNovember 12, 2025
✔ NPI 1164416574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in OK · 2417✔ Licensed in TX · 6474TG
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.
200 DALLAS ST, Talihina, OK 74571
Open in Google Maps ↗

Other Identifiers 1

Other81289QTX · Texas Bcbs Provider Numbe

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan 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 and accepts Medicare assignment

Mr. Olin W Fenton 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 ID5395639702
PECOS Enrollment IDI20040209000345, I20110104001156
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 Reassignments

2

Medicare enrollment records show Olin Fenton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Choctaw Nation Of Oklahoma
8.4 mi
Rural
1 CHOCTAW WAY
Talihina, OK 74571
  • Reassigned Medicare billing, Texas enrollment
  • 581 clinicians in this Medicare group
NPI 1659347623 (918) 567-7000
Pushmataha Family Medical Center, Inc
47 mi
Federally Qualified Health Center (FQHC)
109 STANLEY ROAD
Clayton, OK 74536
  • Reassigned Medicare billing, Oklahoma enrollment
  • 14 clinicians in this Medicare group
NPI 1891882676 (918) 569-4143

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.

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.
183 services130 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.
148 services146 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.
133 services126 patients
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.
112 services112 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.
102 services80 patients
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.
88 services88 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Choctaw Nation Health Services Authority

Acute Care Hospitals · Talihina, OK
OwnershipTribal
CMS Certification Number370172
Location1 Choctaw WayTalihina, OK 74571 · Latimer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74571 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

65.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.52
Improvement Activities40
Cost42.43

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.

NORTH EAST FAMILY EYECARE PC
Optometrist (Low Vision Rehabilitation)
200 DALLAS ST
TALIHINA, OK 74571
Le Flore County (903) 244-2889
TALIHINA FAMILY DENTISTRY
Dentist (General Practice)
200 DALLAS ST
TALIHINA, OK 74571
Le Flore County (918) 567-3961
R L LAKE DDS INC
Dentist
200 DALLAS ST
TALIHINA, OK 74571
Le Flore County (918) 567-3961

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 Olin Fenton's NPI number?

The NPI number for Olin Fenton is 1164416574. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Olin Fenton located?

Olin Fenton practices at 200 Dallas St, Talihina, OK 74571. The listed phone number is (918) 567-3424.

What is Olin Fenton's specialty?

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

Is Olin Fenton enrolled in Medicare?

Yes. Olin Fenton 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 Olin Fenton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olin Fenton reassigns Medicare benefits to 2 organizations: Choctaw Nation Of Oklahoma (Talihina, OK) and Pushmataha Family Medical Center, Inc (Clayton, 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 Olin Fenton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olin Fenton accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Olin Fenton 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 Olin Fenton affiliated with any hospitals?

According to CMS data, Olin Fenton is affiliated with Choctaw Nation Health Services Authority.

When was this NPI record last updated?

The NPPES record for Olin Fenton was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.