BENNETT W NELSON (O.D.) – Optometrist, NPI 1063571305
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
879 OPTOMETRY in MN
Loading map...
Provider Addresses for BENNETT W NELSON (O.D.)
Division Street, Waite Park, Stearns County, Minnesota, 56387, United States
WAITE PARK, MN 563871331
Phone: (320) 253-0365
Fax: (320) 253-9401
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $51.
Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: CooperVision Inc. ($18).
Total Amount
$51
General + Research + Ownership
Payments
3
Total payment records
General Amount
$51
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $18 |
| Oyster Point Pharma, Inc. | $18 |
| Johnson & Johnson Vision Care, Inc. | $15 |
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: 2007-09-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070912000461 | I | Optometry | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 206 | 206 | $0 |
| 92134 | Imaging of retina | 166 | 139 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 104 | 80 | $0 |
| 92083 | Exam of visual field with extended testing | 60 | 53 | $0 |
| 92133 | Imaging of optic nerve | 57 | 51 | $0 |
Insurance plans in this area (ZIP 56387)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CT | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.