DR. MARK LOBANOFF (M.D.) – Ophthalmology Physician, NPI 1205870045

DR. MARK LOBANOFF (M.D.) is a healthcare provider. based in St louis park, Minnesota. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 207W00000X (MN). The NPI Number for DR. MARK LOBANOFF (M.D.) is 1205870045

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK LOBANOFF (M.D.)
NPI
1205870045
Phone
(952) 204-5060
Address
6099 WAYZATA BLVD STE 100-120
Enumeration Date
15 June 2006
Last Update Date
28 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9522045060
Graduation Year
1988 (38 years ago)
PAC ID
6507825437
Group Practice PAC ID
8921497751
Professional Enrollment ID
I20041210000165
Address ID
MN554165538MI6099XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

415 OPHTHALMOLOGY in MN

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Provider Addresses for DR. MARK LOBANOFF (M.D.)

  • 6099 WAYZATA BLVD STE 100-120

    ST LOUIS PARK, MN 554165538

    Phone: (952) 204-5060

    Fax: (952) 204-9060

    Type: Mailing

  • Coon Rapids Boulevard Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55434, United States

    SUITE 100

    COON RAPIDS, MN 55433

    Phone: (763) 421-7420

    Fax: (763) 421-0730

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 113 Open Payments records for all available years, with a total value of $4,942,416.

Total Amount is formed as General ($4,942,416) + Research ($0) + Ownership ($0) = $4,942,416.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Alcon Research LLC ($4,133,000).

Total Amount

$4,942,416

General + Research + Ownership

Payments

113

Total payment records

General Amount

$4,942,416

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2004-12-10

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
I20041210000165IOphthalmologyMNTBD

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
66984Removal of cataract with insertion of prosthetic lens9152$0
92136Measurement of corneal curvature and depth of eye9150$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes7845$0
64727Release of nerve using operating microscope7845$0
64708Release of arm or leg nerve7744$0
View full utilization report →

Insurance plans in this area (ZIP 55416)

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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: 8921497751View full group profile
NameSpecialtyState
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 YMD
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 identifier follows DR. MARK LOBANOFF (M.D.) across health systems?
The NPI 1205870045 uniquely identifies DR. MARK LOBANOFF (M.D.) in U.S. healthcare data.
Should I treat DR. MARK LOBANOFF (M.D.) as an active provider?
Patients and plans typically see DR. MARK LOBANOFF (M.D.) as active in the national extract.
What does the directory say DR. MARK LOBANOFF (M.D.) does?
Insurance directories may phrase it differently, but here DR. MARK LOBANOFF (M.D.) maps to Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MARK LOBANOFF (M.D.) in St Louis Park, Minnesota?
For routing, start with St Louis Park, Minnesota for DR. MARK LOBANOFF (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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