MEGAN MARIE SIS (OD, MS, FAAO) – Optometrist, NPI 1013242197

MEGAN MARIE SIS (OD, MS, FAAO) is a healthcare provider. based in Blaine, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD, MS, FAAO. They hold a License No. OEG002668 (PA). The NPI Number for MEGAN MARIE SIS (OD, MS, FAAO) is 1013242197

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MEGAN MARIE SIS (OD, MS, FAAO)
NPI
1013242197
Phone
(763) 757-7000
Address
12170 ABERDEEN ST NE
Enumeration Date
7 October 2009
Last Update Date
11 July 2019

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
7637577000
Graduation Year
2012 (14 years ago)
PAC ID
4183872054
Group Practice PAC ID
2264479575
Professional Enrollment ID
I20140428000547
Address ID
MN554494716BL12170NEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:16State licenses:2Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for MEGAN MARIE SIS (OD, MS, FAAO)

  • 12170, Aberdeen Street Northeast, Johnsville, Blaine, Anoka County, Minnesota, 55449, United States

    BLAINE, MN 554494716

    Phone: (763) 757-7000

    Fax: (763) 757-3328

    Type: Mailing

  • 3340 Northdale Blvd NW Ste 130

    Coon Rapids, MN 554481623

    Phone: (763) 390-0707

    Fax: (763) 219-4242

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $3,849.

Total Amount is formed as General ($3,849) + Research ($0) + Ownership ($0) = $3,849.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: CooperVision Inc. ($3,627).

Total Amount

$3,849

General + Research + Ownership

Payments

17

Total payment records

General Amount

$3,849

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-04-28

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
I20140428000547IOptometryMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55449)

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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: 2264479575View full group profile
NameSpecialtyState
-MN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

What number should I use to identify MEGAN MARIE SIS (OD, MS, FAAO) for billing?
Administrative and clinical systems typically use NPI 1013242197 for MEGAN MARIE SIS (OD, MS, FAAO).
Quick check: is MEGAN MARIE SIS (OD, MS, FAAO) active?
Public NPPES data shows MEGAN MARIE SIS (OD, MS, FAAO) with an active NPI status right now.
Which specialty label fits MEGAN MARIE SIS (OD, MS, FAAO)?
NPPES ties MEGAN MARIE SIS (OD, MS, FAAO) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MEGAN MARIE SIS (OD, MS, FAAO)?
MEGAN MARIE SIS (OD, MS, FAAO) is associated with Blaine, Minnesota in the same public data insurers reference.
Who maintains MEGAN MARIE SIS (OD, MS, FAAO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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