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BRIAN D BAXTER O.D.
NPI 1831126697
Optometrist in Durango, CO

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1266 ESCALANTE DR STE 301, DURANGO, CO 81303(970) 828-2200(970) 828-2201 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 26, 2024, Dec 12, 2024, Oct 12, 2024 (3 updates tracked since 2024).

About Brian D Baxter O.d. NPPES

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

BRIAN D BAXTER O.D. (NPI 1831126697) is an individual optometrist in Durango, Colorado, licensed in Colorado (OPT.0004060) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2000).

NPPES Registry Identity

NPI1831126697
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRIAN D BAXTERCredential: O.D.
Location Address1266 ESCALANTE DR STE 301Durango, CO 81303-8934
Mailing Address1266 Escalante Dr Ste 301Durango, CO 81303-8934 · (970) 828-2200 · Fax (970) 828-2201
Phone(970) 828-2200
Fax(970) 828-2201
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2000
Enumeration DateJune 27, 2006
Last NPPES UpdateJanuary 23, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
✔ NPI 1831126697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in CO · OPT.0004060✔ Licensed in AL · R151TA719✔ Licensed in NM · OPT-2024-0014
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.
1266 ESCALANTE DR STE 301, Durango, CO 81303
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Other Identifiers 4

Medicaid051557540AL
OtherP00334247AL · Rr Medicare
Medicaid1831126697AL
Other515-93468AL · Blue Cross Blueshield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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

Brian D Baxter 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 ID2961412960
PECOS Enrollment IDI20241218003615, I20250102002154
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.
823 services818 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.
237 services203 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
235 services230 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
157 services110 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
139 services139 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).
138 services135 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81303 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

GRANT GEBHARD
Ophthalmology
1266 ESCALANTE DR STE 301
DURANGO, CO 81303
La Plata County (970) 828-2200
SOUTHWEST EYE CONSULTANTS PLLC
Ophthalmology
1266 ESCALANTE DR STE 301
DURANGO, CO 81303
La Plata County (970) 828-2200
MOSS JACOB FENBERG MD
Ophthalmology (Retina Specialist)
1266 ESCALANTE DR STE 301
DURANGO, CO 81303
La Plata County (970) 828-2200
SARA JOY HAUG MD, PHD
Ophthalmology (Retina Specialist)
1266 ESCALANTE DR STE 301
DURANGO, CO 81303
La Plata County (970) 828-2200

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 Baxter's NPI number?

The NPI number for Brian Baxter is 1831126697. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Brian Baxter located?

Brian Baxter practices at 1266 Escalante Dr Ste 301, Durango, CO 81303. The listed phone number is (970) 828-2200.

What is Brian Baxter's specialty?

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

Is Brian Baxter enrolled in Medicare?

Yes. Brian Baxter 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 Baxter accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross Blue Shield of Wyoming and 2 other insurers list Brian Baxter 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 Baxter was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.