DR. ICEM E BREWER O.D.
NPI 1316166697
Optometrist - Corneal and Contact Management in Fayetteville, AR

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment
4201 N SHILOH DR STE 1235, FAYETTEVILLE, AR 72703(479) 444-8705 Get Directions Write a Review

NPPES record last updated: July 6, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Icem E Brewer O.d. NPPES

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

DR. ICEM E BREWER O.D. (NPI 1316166697) is an individual corneal and contact management provider in Fayetteville, Arkansas, licensed in Arkansas (2559) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2005).

NPPES Registry Identity

NPI1316166697
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. ICEM E BREWERCredential: O.D.
Location Address4201 N SHILOH DR STE 1235Fayetteville, AR 72703-5303
Mailing Address2391 N Hidden Creek DrFayetteville, AR 72704-6353 · (479) 225-1857
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2005
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 6, 2011
✔ NPI 1316166697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in AR · 2559
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
4201 N SHILOH DR STE 1235, Fayetteville, AR 72703

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

Dr. Icem E Brewer O.d. 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 ID9234152406
PECOS Enrollment IDI20060130000903
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 Icem Brewer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
3730 N VANTAGE DR
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 4 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 4

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.
80 services79 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
32 services25 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
26 services14 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

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 Icem Brewer's NPI number?

The NPI number for Icem Brewer is 1316166697. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Icem Brewer located?

Icem Brewer practices at 4201 N Shiloh Dr Ste 1235, Fayetteville, AR 72703. The listed phone number is (479) 444-8705.

What is Icem Brewer's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Icem Brewer enrolled in Medicare?

Yes. Icem Brewer 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 organization bills Medicare for Icem Brewer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Icem Brewer reassigns Medicare benefits to Focused Family Eye Care, PLLC (Fayetteville, AR). 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 Icem Brewer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Icem Brewer accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 11 other insurers list Icem Brewer 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 Icem Brewer was last updated on July 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.