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DR. ALAN BART BRACKUP M.D.
NPI 1417059908
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Langhorne, PA

Active since September 04, 2006Opted out of Medicare · through Oct 1, 2026
1717 LANGHORNE NEWTOWN RD STE 150, LANGHORNE, PA 19047(215) 750-9400(215) 750-7400 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2021, Dec 23, 2019, Mar 1, 2017 (3 updates tracked since 2017).

About Dr. Alan Bart Brackup M.d. NPPES

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

DR. ALAN BART BRACKUP M.D. (NPI 1417059908) is an individual ophthalmic plastic and reconstructive surgery provider in Langhorne, Pennsylvania, licensed in Pennsylvania (MD044284E) and active in the NPI registry since September 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417059908
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameDR. ALAN BART BRACKUPCredential: M.D.
Location Address1717 LANGHORNE NEWTOWN RD STE 150Langhorne, PA 19047-1089
Mailing Address1717 Langhorne Newtown Rd, Ste 150Langhorne, PA 19047-1089 · (215) 750-9400 · Fax (215) 750-7400
Phone(215) 750-9400
Fax(215) 750-7400
Sole ProprietorYes
Enumeration DateSeptember 4, 2006
Last NPPES UpdateMarch 25, 20213 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1417059908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License✔ Licensed in PA · MD044284E
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedSpecialistTaxonomy 174400000X · License MD044284E (PA)
1717 LANGHORNE NEWTOWN RD STE 150, Langhorne, PA 19047
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Other Identifiers 7

Other0342693000PA · Keystone
OtherE20626PA · Amerihealth
Other0790237PA · Cigna
Other0520626PA · Pabs (highmark)
Other2265859PA · Aetna Hmo
Other4122424PA · Aetna Ppo
Other520626PA · Personal Choice

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Alan Bart Brackup M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19047 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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

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

COSMETIC SURGERY SPECIALISTS
Clinic/Center
1717 LANGHORNE NEWTOWN RD STE 150
LANGHORNE, PA 19047
Bucks County (215) 750-9400

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 Alan Brackup's NPI number?

The NPI number for Alan Brackup is 1417059908. It was assigned to this individual provider in the NPPES registry on September 4, 2006.

Where is Alan Brackup located?

Alan Brackup practices at 1717 Langhorne Newtown Rd Ste 150, Langhorne, PA 19047. The listed phone number is (215) 750-9400.

What is Alan Brackup's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Alan Brackup enrolled in Medicare?

No. Alan Brackup has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Alan Brackup was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.