JOHN ANDREW DVORAK (MD) – Ophthalmology Physician, NPI 1093755969
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
415 OPHTHALMOLOGY in MN
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Provider Addresses for JOHN ANDREW DVORAK (MD)
Doctors Park, Northway Drive, Saint Cloud, Stearns County, Minnesota, 56303, United States
SAINT CLOUD, MN 56303
Phone: (320) 253-3637
Fax: (320) 253-5412
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)
CMS reports 8 Open Payments records for all available years, with a total value of $184.
Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Alcon Vision LLC ($143).
Total Amount
$184
General + Research + Ownership
Payments
8
Total payment records
General Amount
$184
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $143 |
| ABBVIE INC. | $24 |
| Oyster Point Pharma, Inc. | $17 |
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: 2005-06-01
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 |
|---|---|---|---|---|
| I20050601000887 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| 92134 | Imaging of retina | 334 | 170 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 267 | 158 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 267 | 212 | $0 |
| 92014 | Established patient complete exam of visual system | 263 | 233 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 114 | 82 | $0 |
Insurance plans in this area (ZIP 56303)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | MN | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 209 | 128 |
| OPHTHALMOLOGY | MN | 92083 | Measurement of field of vision during daylight conditions | 49 | 48 |
| OPHTHALMOLOGY | MN | 92134 | Diagnostic imaging of retina | 132 | 65 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| O P T O M E T R Y | MN | |
| General Practice, Emergency Medicine | MN | |
| Family Practice | MN | |
| Certified Nurse Midwife (Cnm) | SD | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Diagnostic Radiology | ND | |
| Nurse Practitioner | SD |
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