Brandon Clark Hicks, O.D.
NPI 1679887756ActiveIndividual· Optometrist· Boise, ID
Optometrist (O.D.) in Boise, Idaho, trained at Ohio State University - College of Optometry (class of 2010). In 2024 Medicare paid $95,316 for 834 patients, and Part D covered 609 of their prescriptions, 56% of them generic.
Overview
| NPI | 1679887756 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 2, 2010 |
| Last updated in NPPES | Jun 22, 2023 |
| Certified by provider | Jun 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | ODP-100580 | ID |
| Optometrist | 152W00000X | 7719282-9934 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (ID); Practitioner - Optometry (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 834 |
|---|---|
| Services billed | 1,561 across 15 procedure codes |
| Paid by Medicare | $95,316 |
Part D prescriptions in 2024
| Prescriptions (claims) | 609 · 1,068 30-day fills |
|---|---|
| Patients | 272 |
| Total drug cost | $51,829 |
| Generic share | 56% of claims |
Education and affiliations
| Medical school | Ohio State University - College of Optometry |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Optometry |
Medical group
- Intermountain Eye and Laser Centers PLLCBoise, ID · 9 clinicians
Hospital affiliations
- Saint Alphonsus Regional Medical CenterBoise, ID
- St Luke's Regional Medical CenterBoise, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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