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BRENDAN NICHOLAS TRIBASTONE OD
NPI 1396673323
Student in an Organized Health Care Education/Training Program in Powell, OH

Active since May 11, 2026PECOS EnrolledAccepts Medicare Assignment
265 N LIBERTY ST, POWELL, OH 43065(614) 793-0700 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brendan Nicholas Tribastone Od NPPES

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

BRENDAN NICHOLAS TRIBASTONE OD (NPI 1396673323) is an individual student in an organized health care education/training program in Powell, Ohio and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2026).

NPPES Registry Identity

NPI1396673323
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRENDAN NICHOLAS TRIBASTONECredential: OD
Location Address265 N LIBERTY STPowell, OH 43065-8870
Mailing Address265 N Liberty StPowell, OH 43065-8870 · (614) 793-0700
Phone(614) 793-0700
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2026
Enumeration DateMay 11, 2026
NPPES CertifiedMay 11, 2026
✔ NPI 1396673323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
265 N LIBERTY ST, Powell, OH 43065
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brendan Nicholas Tribastone 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 ID7810460912
PECOS Enrollment IDI20260619001694
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 Brendan Tribastone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometric Management Group LLC
Same address
Optometrist
265 N LIBERTY ST
Powell, OH 43065
  • Reassigned Medicare billing, Ohio enrollment
  • 58 clinicians in this Medicare group
NPI 1265534093 (614) 793-0700

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

Other Providers at the Same Location NPPES 6

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

DR. SAN-SAN COOLEY O.D.
Optometrist
265 N LIBERTY ST
POWELL, OH 43065
Delaware County (614) 793-0700
LOGAN ANWAY
Optometrist
265 N LIBERTY ST
POWELL, OH 43065
Delaware County (614) 793-0700
OPTOMETRIC MANAGEMENT GROUP LLC
Optometrist
265 N LIBERTY ST
POWELL, OH 43065
Delaware County (614) 793-0700
MEGAN PHYLLIS WELLS OD
Optometrist
265 N LIBERTY ST
POWELL, OH 43065
Delaware County (614) 793-0700
DR. ERIC E. NEADER OD
Optometrist
265 N LIBERTY ST
POWELL, OH 43065
Delaware County (614) 793-0700
SAMANTHA KAYE FORD
Optometrist
265 N LIBERTY ST
POWELL, OH 43065
Delaware County (614) 793-0700

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 Tribastone's NPI number?

The NPI number for Brendan Tribastone is 1396673323. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Brendan Tribastone located?

Brendan Tribastone practices at 265 N Liberty St, Powell, OH 43065. The listed phone number is (614) 793-0700.

What is Brendan Tribastone's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brendan Tribastone enrolled in Medicare?

Yes. Brendan Tribastone 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 Brendan Tribastone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brendan Tribastone reassigns Medicare benefits to Optometric Management Group LLC (Powell, OH). 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 Brendan Tribastone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brendan Tribastone 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 Tribastone 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 Tribastone was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.