Individual provider Active NPI

Brian D Baxter, O.D.

  • Optometrist
  • Durango, CO
National Provider Identifier
1831126697
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0004060 Issued in CO
Practice address
1266 Escalante Dr Ste 301
Durango, CO 81303-8934
Phone
(970) 828-2200
Fax
(970) 828-2201
NPI assigned
Jun 27, 2006
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X R151TA719 AL
Optometrist 152W00000X OPT-2024-0014 NM
Optometrist 152W00000X OPT.0004060 CO Primary

Addresses

Primary practice location

1266 Escalante Dr Ste 301
Durango, CO 81303-8934

Mailing address

1266 Escalante Dr Ste 301
Durango, CO 81303-8934
Phone (970) 828-2200

Other practice location 1

2300 E 30th St Ste B-105
Farmington, NM 87401-8991
Phone (970) 828-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, CO, NM3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060504000158 AL Practitioner - Optometry 2961412960
I20241218003615 CO Practitioner - Ophthalmology 2961412960 Reassigns benefits to 1 organization
I20250102002154 NM Practitioner - Ophthalmology 2961412960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Southern College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Eye Consultants PLLCGroup PAC ID 5991118606, 8 clinicians

Practice addresses (Care Compare)

1266 Escalante Dr
Suite 301
Durango, CO 81303-8902
Phone (970) 828-2200

2300 E 30TH St
Suite N 105
Farmington, NM 87401-8990
Phone (970) 828-2200

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0004060COMDOptometrist
OPT-2024-0014NMMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Retina Consultants PC Current Accepting new patients
Neena Singhal James, LLC Optometrist PastSince Jun 23, 2017 Accepting new patients

Locations

2300 E 30th St
Ste 105
Farmington, NM 87401
Phone (505) 325-5021

Interoperability endpoints

  • Direct secure messaging: bbaxter@mmec.intellechartdirect.net
  • Direct secure messaging: bbaxter@swrc.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1831126697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 ESCALANTE DR STE 301",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038934",
            "telephone_number": "970-828-2200",
            "fax_number": "970-828-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 ESCALANTE DR STE 301",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038934",
            "telephone_number": "970-828-2200",
            "fax_number": "970-828-2201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 E 30th St Ste B-105",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874018991",
            "country_code": "US",
            "telephone_number": "970-828-2200",
            "fax_number": "970-828-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R151TA719",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OPT-2024-0014",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0004060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.