DR. GREGORY S DENSBORN (O.D.) – Optometrist, NPI 1164451167

DR. GREGORY S DENSBORN (O.D.) is a healthcare provider. based in Logansport, Indiana. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 18002450B (IN). The NPI Number for DR. GREGORY S DENSBORN (O.D.) is 1164451167

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREGORY S DENSBORN (O.D.)
NPI
1164451167
Phone
(574) 737-8313
Address
824 E BROADWAY
Enumeration Date
2 July 2006
Last Update Date
26 December 2009

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
5747722012
Graduation Year
1990 (36 years ago)
PAC ID
6002719135
Group Practice PAC ID
5193701340
Professional Enrollment ID
I20040128000266
Address ID
IN465348226KN1003XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

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Provider Addresses for DR. GREGORY S DENSBORN (O.D.)

  • 824, East Broadway Street, Logansport, Cass County, Indiana, 46947, United States

    LOGANSPORT, IN 469473135

    Phone: (574) 737-8313

    Fax: (574) 735-2130

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040128000266IOptometryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system6666$0
92004New patient complete exam of visual system2727$0
99212Established patient office or other outpatient visit, 10-19 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 46947)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193701340View full group profile
NameSpecialtyState
O P T O M E T R YIN
-IN
O P H T H A L M O L O G YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P H T H A L M O L O G YIN

Reviews

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Frequently asked questions

How do payers reference DR. GREGORY S DENSBORN (O.D.)?
For DR. GREGORY S DENSBORN (O.D.), use NPI 1164451167 as the unique 10-digit identifier.
Is there an active status for DR. GREGORY S DENSBORN (O.D.)?
For scheduling context, DR. GREGORY S DENSBORN (O.D.) is shown as active in the registry.
What expertise is attributed to DR. GREGORY S DENSBORN (O.D.)?
DR. GREGORY S DENSBORN (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in Indiana is DR. GREGORY S DENSBORN (O.D.) registered?
Use Logansport, Indiana as the headline location for DR. GREGORY S DENSBORN (O.D.) here.
When was this NPI issued?
Enumeration for DR. GREGORY S DENSBORN (O.D.) is noted as July 2, 2006 where the registry provides it.

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