BRIAN R GUMM O.D.
NPI 1649211301
Optometrist in Stillwater, OK

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
2123 W 6TH AVE, STILLWATER, OK 74074(405) 372-3724(405) 743-1042 Get Directions Write a Review

NPPES record last updated: September 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian R Gumm O.d. NPPES

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

BRIAN R GUMM O.D. (NPI 1649211301) is an individual optometrist in Stillwater, Oklahoma, licensed in Oklahoma (1048) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1649211301
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRIAN R GUMMCredential: O.D.
Location Address2123 W 6TH AVEStillwater, OK 74074-4136
Mailing Address2123 W 6th AveStillwater, OK 74074-4136 · (405) 372-3724 · Fax (405) 743-1042
Fax(405) 743-1042
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJune 10, 2006
Last NPPES UpdateSeptember 5, 2008
NPI 1649211301 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 OK · 1048
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.
2123 W 6TH AVE, Stillwater, OK 74074

Other Identifiers 5

Other0210790001OK · Palmetto Government Benefits Administrators
Medicare UPINT40479OK
Other410033132OK · Railroad Medicare
Medicare NSC0210790001OK
Medicaid100766180AOK

Accepted 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

Brian R Gumm 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 ID8123100336
PECOS Enrollment IDI20110322001033
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 9

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.
154 services154 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.
94 services63 patients
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.
58 services56 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).
39 services32 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.
35 services33 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
28 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74074 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 6

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

Optometrist
2123 W 6TH AVE
STILLWATER, OK 74074
Optometrist
2123 W 6TH AVE
STILLWATER, OK 74074
Optometrist
2123 W 6TH AVE
STILLWATER, OK 74074
Optometrist
2123 W 6TH AVE
STILLWATER, OK 74074
Optometrist
2123 W 6TH AVE
STILLWATER, OK 74074
Optometrist
2123 W 6TH AVE
STILLWATER, OK 74074

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 Brian Gumm's NPI number?

The NPI number for Brian Gumm is 1649211301. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Brian Gumm located?

Brian Gumm practices at 2123 W 6th Ave, Stillwater, OK 74074. The listed phone number is (405) 372-3724.

What is Brian Gumm's specialty?

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

Is Brian Gumm enrolled in Medicare?

Yes. Brian Gumm 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 Brian Gumm accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Brian Gumm 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 Brian Gumm was last updated on September 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.