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DR. BRET A. PROVOST O.D.
NPI 1528093556
Optometrist in Clackamas, OR

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
9201 SE 91ST AVE, SUITE 210, CLACKAMAS, OR 97086(503) 775-2424(503) 775-6181 Get Directions Write a Review

NPPES record last updated: May 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bret A. Provost O.d. NPPES

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

DR. BRET A. PROVOST O.D. (NPI 1528093556) is an individual optometrist in Clackamas, Oregon, licensed in Oregon (3132) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2005).

NPPES Registry Identity

NPI1528093556
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BRET A. PROVOSTCredential: O.D.
Location Address9201 SE 91ST AVE, SUITE 210Clackamas, OR 97086-3760
Mailing Address9201 Se 91st Ave, Suite 210Clackamas, OR 97086-3760 · (503) 775-2424 · Fax (503) 775-6181
Phone(503) 775-2424
Fax(503) 775-6181
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2005
Enumeration DateJuly 11, 2006
Last NPPES UpdateMay 4, 2010
✔ NPI 1528093556 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 OR · 3132
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.
9201 SE 91ST AVE, Clackamas, OR 97086
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Other Identifiers 1

Medicare PINR149916OR

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

Dr. Bret A. Provost 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 ID4284653775
PECOS Enrollment IDI20051114000996
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97086 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

Other Providers at the Same Location NPPES 3

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

DR. CARRIE LYNN BREEDEN O.D.
Optometrist
9201 SE 91ST AVE, SUITE 130
CLACKAMAS, OR 97086
Clackamas County (503) 775-2424
RIVER CITY EYECARE, LLC
Eyewear Supplier
9201 SE 91ST AVE, SUITE 130
CLACKAMAS, OR 97086
Clackamas County (503) 775-2424
VIENGCHITH CHRISTOPHER RDH
Dental Hygienist
9201 SE 91ST AVE
HAPPY VALLEY, OR 97086
Clackamas County (503) 253-1344

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 Bret Provost's NPI number?

The NPI number for Bret Provost is 1528093556. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Bret Provost located?

Bret Provost practices at 9201 SE 91st Ave Suite 210, Clackamas, OR 97086. The listed phone number is (503) 775-2424.

What is Bret Provost's specialty?

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

Is Bret Provost enrolled in Medicare?

Yes. Bret Provost 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 Bret Provost 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, BridgeSpan Health Company and Moda Health Plan, Inc. and 3 other insurers list Bret Provost 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 Bret Provost was last updated on May 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.