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ANNETTE BRABHAM O.D.
NPI 1346334422
Optometrist in Valparaiso, FL

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
111 N JOHN SIMS PKWY, VALPARAISO, FL 32580(850) 729-8711(850) 729-8713 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Annette Brabham O.d. NPPES

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

ANNETTE BRABHAM O.D. (NPI 1346334422) is an individual optometrist in Valparaiso, Florida, licensed in Florida (OP0002698) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1993).

NPPES Registry Identity

NPI1346334422
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameANNETTE BRABHAMCredential: O.D.
Location Address111 N JOHN SIMS PKWYValparaiso, FL 32580
Mailing Address111 N John Sims PkwyValparaiso, FL 32580-1005 · (850) 729-8711 · Fax (850) 729-8713
Phone(850) 729-8711
Fax(850) 729-8713
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1993
Enumeration DateOctober 3, 2006
Last NPPES UpdateJune 15, 2018
✔ NPI 1346334422 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 FL · OP0002698
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.
111 N JOHN SIMS PKWY, Valparaiso, FL 32580
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Other Identifiers 1

Medicaid620523200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida 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

Annette Brabham 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 ID3779694815
PECOS Enrollment IDI20120420000522
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 Annette Brabham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Annette Brabham Od PA
Same address
Optometrist
111 N JOHN SIMS PKWY
Valparaiso, FL 32580
  • Reassigned Medicare billing, Florida enrollment
NPI 1255635348 (850) 729-8711
Branscome Vision Group Inc
Same address
Optometrist
111 N JOHN SIMS PKWY
Valparaiso, FL 32580
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1346123320 (850) 758-8859

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 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.
297 services297 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.
147 services100 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
60 services56 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.
55 services39 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
44 services44 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
44 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32580 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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%35 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 5

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

DR. SHARON MARIE BRANSCOME O.D.
Optometrist
111 N JOHN SIMS PKWY
VALPARAISO, FL 32580
Okaloosa County (850) 729-8711
ANNETTE BRABHAM OD PA
Optometrist
111 N JOHN SIMS PKWY
VALPARAISO, FL 32580
Okaloosa County (850) 729-8711
BRANSCOME VISION GROUP INC
Optometrist
111 N JOHN SIMS PKWY
VALPARAISO, FL 32580
Okaloosa County (850) 758-8859
C S PETERS OD, PA
Optometrist
111 N JOHN SIMS PKWY
VALPARAISO, FL 32580
Okaloosa County (850) 678-1722
C S PETERS OD PA
Optometrist
111 N JOHN SIMS PKWY
VALPARAISO, FL 32580
Okaloosa County (850) 678-1722

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 Annette Brabham's NPI number?

The NPI number for Annette Brabham is 1346334422. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Annette Brabham located?

Annette Brabham practices at 111 N John Sims Pkwy, Valparaiso, FL 32580. The listed phone number is (850) 729-8711.

What is Annette Brabham's specialty?

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

Is Annette Brabham enrolled in Medicare?

Yes. Annette Brabham 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 Annette Brabham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annette Brabham reassigns Medicare benefits to 2 organizations: Annette Brabham Od PA (Valparaiso, FL) and Branscome Vision Group Inc (Valparaiso, FL). 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 Annette Brabham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Annette Brabham accept?

Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 3 other insurers list Annette Brabham 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 Annette Brabham was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.