DR. JESSE VISLISEL (M.D.) – Ophthalmology Physician, NPI 1063704294

DR. JESSE VISLISEL (M.D.) is a healthcare provider. based in Stillwater, Minnesota. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 60618 (MN). The NPI Number for DR. JESSE VISLISEL (M.D.) is 1063704294

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSE VISLISEL (M.D.)
NPI
1063704294
Phone
(651) 275-3000
Address
1719 TOWER DR W STE 100
Enumeration Date
5 May 2011
Last Update Date
14 May 2020

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
6512753000
Graduation Year
2011 (15 years ago)
PAC ID
8325287543
Group Practice PAC ID
4486552437
Professional Enrollment ID
I20161214001788
Address ID
WI540171219NE525XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

415 OPHTHALMOLOGY in MN

Provider Addresses for DR. JESSE VISLISEL (M.D.)

  • 1719 TOWER DR W STE 100

    STILLWATER, MN 550827512

    Phone: (651) 275-3000

    Fax: (651) 275-3032

    Type: Mailing

  • 2950 CURVE CREST BLVD W

    STILLWATER, MN 55082

    Phone: (651) 275-3000

    Fax: (651) 275-3032

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $1,364.

Total Amount is formed as General ($1,364) + Research ($0) + Ownership ($0) = $1,364.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Alcon Vision LLC ($1,007).

Total Amount

$1,364

General + Research + Ownership

Payments

10

Total payment records

General Amount

$1,364

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

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: 2016-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160623002197IOphthalmologyMNTBD
I20161214001788IOphthalmologyWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes375213$0
92014Established patient complete exam of visual system237237$0
92136Measurement of corneal curvature and depth of eye15778$0
92025Ct scan of cornea154118$0
92134Imaging of retina150130$0
View full utilization report →

Insurance plans in this area (ZIP 55082)

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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: 4486552437View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P H T H A L M O L O G YMN

Reviews

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Frequently asked questions

What NPI should I save for DR. JESSE VISLISEL (M.D.)?
Save NPI 1063704294 if you need a stable reference for DR. JESSE VISLISEL (M.D.).
Is DR. JESSE VISLISEL (M.D.) active in the national directory?
DR. JESSE VISLISEL (M.D.)'s public NPI profile is in an active state.
What does DR. JESSE VISLISEL (M.D.) treat or focus on?
Patients typically see DR. JESSE VISLISEL (M.D.) under the specialty Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JESSE VISLISEL (M.D.)?
The page summarizes Stillwater, Minnesota for DR. JESSE VISLISEL (M.D.); expand the address list for detail.
How can I contact DR. JESSE VISLISEL (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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