ALEJANDRA DECANINI MANCERA (M.D.) – Ophthalmology Physician, NPI 1174799357
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
415 OPHTHALMOLOGY in MN
Provider Addresses for ALEJANDRA DECANINI MANCERA (M.D.)
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 553697074
Phone: (763) 416-7600
Fax: (763) 416-7634
Type: Location
701 Park Avenue, P7
Suite 200
Minneapolis, MN 55415
Phone: (612) 873-6085
Fax: (612) 630-8230
Type: Location
Park Av, 701, Park Avenue South, Minneapolis, Hennepin County, Minnesota, 55415, United States
SUITE 200
MINNEAPOLIS, MN 55415
Phone: (612) 873-6085
Fax: (612) 630-8242
Type: Mailing
8401 GOLDEN VALLEY RD STE 330
GOLDEN VALLEY, MN 554274687
Phone: (763) 416-7600
Fax: (763) 416-7634
Type: Mailing
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: 2012-10-31
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 |
|---|---|---|---|---|
| I20121031000337 | 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 |
|---|---|---|---|---|
| 92060 | Exam to measure eye deviation and range of motion | 112 | 82 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 18 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 15 | $0 |
Insurance plans in this area (ZIP 55369)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| O P H T H A L M O L O G Y | MN | |
| O P H T H A L M O L O G Y | MN | |
| O P H T H A L M O L O G Y | MN | |
| O P H T H A L M O L O G Y | MN | |
| - | MN | |
| O P H T H A L M O L O G Y | MN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN |
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