MICHAEL S LEE MD
NPI 1649351115
Ophthalmology in Minneapolis, MN
Quality Rating: 77.64 out of 100 score
NPI Status: Active since October 18, 2006
Contact Information
516 DELAWARE ST SE
PWB NINTH FLOOR, CLINIC 9A
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 625-4400
- Individual
- Male
- Years of Experience 29
- Ophthalmology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MICHAEL LEE
This page provides the complete NPI Profile along with additional information for Michael Lee, a provider established in Minneapolis, Minnesota with a medical specialization in Ophthalmology and more than 29 years of experience. He graduated from Perelman School Of Med At The University Of Pennsylvania in 1997. The healthcare provider is registered in the NPI registry with number 1649351115 assigned on October 2006. The practitioner's primary taxonomy code is 207W00000X with license number 47966 (MN). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1649351115
- Provider Name
- MICHAEL S LEE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 516 DELAWARE ST SE PWB NINTH FLOOR, CLINIC 9A MINNEAPOLIS, MN 55455
- Location Phone
- (612) 625-4400
- Mailing Address
- 420 DELAWARE ST SE MMC 493-UNIVERSITY OF MINNESOTA PHYSICIANS MINNEAPOLIS, MN 55455
- Mailing Phone
- (612) 625-4400
- Medical School Name
- PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
- Graduation Year
- 1997
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-18-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Ophthalmologists like Michael Lee specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 47966
- License State
- MN
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00146149 | MEDICAID (05) | MT | |
| 34656900 | MEDICAID (05) | WI | |
| 135161 | OTHER (01) | MN | UCARE |
| H44876 | MEDICARE UPIN (02) | ||
| 0594085 | MEDICAID (05) | IA | |
| 2378191 | OTHER (01) | MN | ARAZ |
| 1044742 | OTHER (01) | MN | PREFERRED ONE |
| 08-00043 | OTHER (01) | MN | MEDICA-PRIMARY |
| 503K7LE | OTHER (01) | MN | BCBS |
| HP55121 | OTHER (01) | MN | HEALTH PARTNERS |
| B626 | OTHER (01) | MN | CHAMPUS |
| 845347 | OTHER (01) | MN | FAIRVIEW |
| 180001241 | MEDICARE ID-TYPE UNSPECIFIED (04) | MN | |
| 285468600 | MEDICAID (05) | MN | |
| 08-01327 | OTHER (01) | MN | MEDICA-CHOICE |
Medicare Participation & PECOS Enrollment Status
Michael Lee is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Michael Lee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7416975487
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20051108000722
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient complete exam of visual system
Established patient complete exam of visual system
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Exam of visual field with extended testing
Exam of visual field with extended testing
Exam to measure eye deviation and range of motion
Exam to measure eye deviation and range of motion
Imaging of optic nerve
Imaging of optic nerve
Injection of chemical for paralysis of nerve muscles on side of face
Injection, onabotulinumtoxina, 1 unit
New patient complete exam of visual system
New patient office or other outpatient visit, 45-59 minutes
New patient office or other outpatient visit, 45-59 minutes
Photography of content of eyes
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.
This service was performed 79 times for 71 patientsAn 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.
This service was performed 17 times for 17 patientsThis 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.
This service was performed 26 times for 22 patientsThis 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.
This service was performed 38 times for 36 patientsAn 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.
This service was performed 130 times for 112 patientsAn 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.
This service was performed 28 times for 23 patientsThis is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
This service was performed 103 times for 82 patientsThis is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
This service was performed 23 times for 19 patientsImaging 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).
This service was performed 125 times for 108 patientsImaging 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).
This service was performed 32 times for 25 patientsThis procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.
This service was performed 33 times for 14 patientsOnabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
This service was performed 4,800 times for 16 patientsA 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.
This service was performed 33 times for 33 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 72 times for 72 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 21 times for 21 patientsPhotography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
This service was performed 17 times for 17 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.9 for a new patient copayment and $17.43 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 55455 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.61
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $31.9
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.74
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $17.43
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 77.64, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 77.64 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 64.78
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 96
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 55.72
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 55.72
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Lee is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| M HEALTH FAIRVIEW UNIVERSITY OF MN | 2450 RIVERSIDE AVENUE MINNEAPOLIS, MN 55454 | (612) 624-1765 | Acute Care Hospitals | |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | 201 EAST NICOLLET BOULEVARD BURNSVILLE, MN 55337 | (952) 892-2101 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 4 | 9 | 3 | 5 | 1 | 1 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 6 | 5 | 2 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 6 + 5 + 2 + 1 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1649351115 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1255310918 | ANGELA PETERSON KRAMER PA-C Individual | Physician Assistant | 516 DELAWARE ST SE 14-148 PWB MINNEAPOLIS, MN 55455 (612) 625-2654 |
| 1962477323 | DR. GREGG W. ANDERSON M.D. Individual | Specialist | 516 DELAWARE ST SE CLINIC 1E COON RAPIDS, MN 55455 (612) 624-5915 |
| 1437195591 | DR. MITCHELL ELLIOTT BENDER M.D. Individual | Dermatology | 516 DELAWARE ST SE UNIVERSITY OF MN PHYSICIANS PWB FIFTH FLOOR, CLINIC 5A MINNEAPOLIS, MN 55455 (612) 625-5656 |
| 1336178557 | DR. JOHN EDWARD FOKER M.D., PHD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 516 DELAWARE ST SE UNIV. OF MN PHYSICIANS, PWB THIRD FLOOR, CLINIC 3B MINNEAPOLIS, MN 55455 (612) 625-3600 |
| 1760411888 | ANNETTE FRIEDHEIM N.P. Individual | Nurse Practitioner | 516 DELAWARE ST SE UNIV.OF MN PHYSICIANS, PWB FIFTH FLOOR, CLINIC 5B MINNEAPOLIS, MN 55455 (612) 626-2663 |
| 1093744120 | DR. JERRY WALTER FROELICH M.D. Individual | Nuclear Medicine | 516 DELAWARE ST SE UNIV.OF MN PHYSICIANS, PWB FIRST FLOOR, CLINIC 1D MINNEAPOLIS, MN 55455 (612) 273-6004 |
| 1356372213 | DR. JAMIE LYNN FELDMAN M.D., PHD Individual | Family Medicine | 516 DELAWARE ST SE 3-150 PWB, CLINIC 3A MINNEAPOLIS, MN 55455 (612) 624-9499 |
| 1265463129 | DR. JOHN RAYMOND FENYK JR. M.D. Individual | Dermatology | 516 DELAWARE ST SE MMC 98 MINNEAPOLIS, MN 55455 (612) 625-5656 |
| 1902826449 | DR. WAYNE O. ADKISSON M.D. Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 516 DELAWARE ST SE UMMC FAIRVIEW, 3RD FLOOR PWB MINNEAPOLIS, MN 55455 (612) 625-3600 |
| 1265546345 | PATRICK G ARNDT MD Individual | Internal Medicine (Pulmonary Disease) | 516 DELAWARE ST SE 2ND FLOOR PWB, CLINIC 2A MINNEAPOLIS, MN 55455 (612) 626-6100 |
| 1346345717 | MARY THERESE DIERICH GNP Individual | Nurse Practitioner (Gerontology) | 516 DELAWARE ST SE 3-150 PWB, CLINIC 3A MINNEAPOLIS, MN 55455 (612) 624-9499 |
| 1942307376 | CHRISTINE H WENDT MD Individual | Internal Medicine (Critical Care Medicine) | 516 DELAWARE ST SE PWB CLINIC 2A MINNEAPOLIS, MN 55455 (612) 624-5682 |
| 1881794659 | MARY JO L SPENCER CPNP Individual | Nurse Practitioner (Pediatrics) | 516 DELAWARE ST SE PWB FOURTH FLOOR, ROOM 4-100 MINNEAPOLIS, MN 55455 (612) 884-0936 |
| 1215037080 | ANNE G MINENKO MD Individual | Internal Medicine (Rheumatology) | 516 DELAWARE ST SE PWB SIXTH FLOOR, CLINIC 6A MINNEAPOLIS, MN 55455 (612) 625-8690 |
| 1427159763 | WOOK JIN SEONG DDS Individual | Dentist (Prosthodontics) | 516 DELAWARE ST SE FACULTY PRACTICE CLINIC 7TH FLR PWB MINNEAPOLIS, MN 55455 (612) 625-2495 |
| 1194826339 | PATRICK MOSE LLOYD DDS Individual | Dentist (Prosthodontics) | 516 DELAWARE ST SE FACULTY PRACTICE CLINIC MINNEAPOLIS, MN 55455 (612) 626-3885 |
| 1962503128 | THOMAS DANA LARSON DDS Individual | Dentist | 516 DELAWARE ST SE FACULTY PRACTICE CLINIC MINNEAPOLIS, MN 55455 (612) 626-6529 |
| 1497847321 | WILLIAM THEODORE BROWNE MD Individual | Internal Medicine (Critical Care Medicine) | 516 DELAWARE ST SE 6-209 PWB, CLINIC 6B MINNEAPOLIS, MN 55455 (612) 625-6480 |
| 1780777995 | GERALD L MORIARTY MD Individual | Psychiatry & Neurology (Neurology) | 516 DELAWARE ST SE MINNEAPOLIS, MN 55455 (612) 626-6688 |
| 1699863274 | CLIFFORD E KASHTAN MD Individual | Pediatrics (Pediatric Nephrology) | 516 DELAWARE ST SE PWB FOURTH FLOOR, ROOM 4-100 MINNEAPOLIS, MN 55455 (612) 626-6777 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649351115, enumerated in the NPI registry as an "individual" on October 18, 2006
The provider is located at 516 Delaware St Se Pwb Ninth Floor, Clinic 9a Minneapolis, Mn 55455 and the phone number is (612) 625-4400
The provider's speciality is Ophthalmology with taxonomy code 207W00000X
The provider has more than 29 years of experience. He graduated from Perelman School Of Med At The University Of Pennsylvania in 1997.
The provider might be accepting Accepts: Medica, Sanford Health Plan, Medicare, Medicaid,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $127.61 with an average copayment of $31.9 for new patient appointments. Established patients should expect a typical charge of $69.74 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient complete exam of visual system, Established patient complete exam of visual system, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Exam of visual field with extended testing, Exam of visual field with extended testing, Exam to measure eye deviation and range of motion, Exam to measure eye deviation and range of motion, Imaging of optic nerve, Imaging of optic nerve, Injection of chemical for paralysis of nerve muscles on side of face, Injection, onabotulinumtoxina, 1 unit, New patient complete exam of visual system, New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 45-59 minutes and Photography of content of eyes.
The practitioner is affiliated to the following hospital(s): M HEALTH FAIRVIEW UNIVERSITY OF MN and M HEALTH FAIRVIEW RIDGES HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on October 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.