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BRENDAN RICHARD JAMES OD
NPI 1194889220
Optometrist in Modesto, CA

Active since December 21, 2006PECOS EnrolledAccepts Medicare Assignment
1019 16TH ST, MODESTO, CA 95354(209) 526-2737(209) 338-0074 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brendan Richard James Od NPPES

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

BRENDAN RICHARD JAMES OD (NPI 1194889220) is an individual optometrist in Modesto, California, licensed in California (12588T) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2004).

NPPES Registry Identity

NPI1194889220
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRENDAN RICHARD JAMESCredential: OD
Location Address1019 16TH STModesto, CA 95354-1105
Mailing Address1019 16th StModesto, CA 95354-1105 · (209) 526-2737 · Fax (209) 338-0074
Phone(209) 526-2737
Fax(209) 338-0074
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 2004
Enumeration DateDecember 21, 2006
Last NPPES UpdateMarch 12, 2020
NPPES CertifiedMarch 12, 2020
✔ NPI 1194889220 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 CA · 12588T
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.
1019 16TH ST, Modesto, CA 95354
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Brendan Richard James 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 ID8426025644
PECOS Enrollment IDI20040915001127
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 3

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 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.
60 services57 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
17 services17 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.
17 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95354 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRUCE ALAN HINKLEY OD
Optometrist
1019 16TH ST
MODESTO, CA 95354
Stanislaus County (209) 526-2737
HINKLEY OPTOMETRIC CORPORATION
Optometrist
1019 16TH ST
MODESTO, CA 95354
Stanislaus County (209) 526-2737

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 Brendan James's NPI number?

The NPI number for Brendan James is 1194889220. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Brendan James located?

Brendan James practices at 1019 16th St, Modesto, CA 95354. The listed phone number is (209) 526-2737.

What is Brendan James's specialty?

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

Is Brendan James enrolled in Medicare?

Yes. Brendan James 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 Brendan James accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Brendan James 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 Brendan James was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.