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DR. CRAIG M BRAWLEY O.D.
NPI 1558360644
Optometrist in St. Louis, MO

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
12121 TESSON FERRY PROFESSIONAL CENTER, ST. LOUIS, MO 63128(314) 843-5700(314) 843-1353 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Craig M Brawley O.d. NPPES

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

DR. CRAIG M BRAWLEY O.D. (NPI 1558360644) is an individual optometrist in St. Louis, Missouri, licensed in Missouri (2001018960) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2001).

NPPES Registry Identity

NPI1558360644
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CRAIG M BRAWLEYCredential: O.D.
Location Address12121 TESSON FERRY PROFESSIONAL CENTERSt. Louis, MO 63128-1250
Mailing Address12121 Tesson Ferry Professional CenterSt. Louis, MO 63128-1250 · (314) 843-5700 · Fax (314) 843-1353
Phone(314) 843-5700
Fax(314) 843-1353
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2001
Enumeration DateJuly 20, 2005
Last NPPES UpdateNovember 18, 2009
✔ NPI 1558360644 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 MO · 2001018960
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.
12121 TESSON FERRY PROFESSIONAL CENTER, St. Louis, MO 63128
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Other Identifiers 2

Medicare ID-Type Unspecified000091283
Medicare UPINU86174

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. Craig M Brawley 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 ID1052452513
PECOS Enrollment IDI20100105000747
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.

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
321 services315 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.
310 services288 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.
193 services189 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.
146 services113 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
134 services134 patients
Imaging of front third of eye using a special microscope 92286
This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.
83 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 Craig Brawley's NPI number?

The NPI number for Craig Brawley is 1558360644. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Craig Brawley located?

Craig Brawley practices at 12121 Tesson Ferry Professional Center, St. Louis, MO 63128. The listed phone number is (314) 843-5700.

What is Craig Brawley's specialty?

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

Is Craig Brawley enrolled in Medicare?

Yes. Craig Brawley 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 Craig Brawley 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 Craig Brawley 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 Craig Brawley was last updated on November 18, 2009. 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.