DR. JEREMY R ANDERSON (OD) – Optometrist, NPI 1205991692

DR. JEREMY R ANDERSON (OD) is a healthcare provider. based in Alexandria, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2725 (MN). The NPI Number for DR. JEREMY R ANDERSON (OD) is 1205991692

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEREMY R ANDERSON (OD)
NPI
1205991692
Phone
(320) 763-4321
Address
120 12TH AVE E
Enumeration Date
26 December 2006
Last Update Date
13 September 2011

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3207634321
Graduation Year
1999 (27 years ago)
PAC ID
4082714647
Group Practice PAC ID
0345220745
Professional Enrollment ID
I20100819001099
Address ID
MN563082708AL1610XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

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Provider Addresses for DR. JEREMY R ANDERSON (OD)

  • 120, 12th Avenue East, Alexandria, Douglas County, Minnesota, 56308, United States

    ALEXANDRIA, MN 563082528

    Phone: (320) 763-4321

    Fax: (320) 763-6921

    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 3 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Alcon Vision LLC ($47).

Total Amount

$47

General + Research + Ownership

Payments

3

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$47
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: 2010-08-19

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
I20100819001099IOptometryMNTBD

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
92014Established patient complete exam of visual system257256$0
99213Established patient office or other outpatient visit, 20-29 minutes154113$0
92083Exam of visual field with extended testing9687$0
92133Imaging of optic nerve9087$0
92250Photography of the retina7371$0
View full utilization report →

Insurance plans in this area (ZIP 56308)

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Provider's Procedures

DR. JEREMY R ANDERSON (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMN92012Eye and medical examination for diagnosis and treatment, established patient1211
OPTOMETRYMN92083Measurement of field of vision during daylight conditions3331
OPTOMETRYMN92134Diagnostic imaging of retina3429

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: 0345220745View full group profile
NameSpecialtyState
O P T O M E T R YCT
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
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 YIL
O P T O M E T R YND

Reviews

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Frequently asked questions

What NPI should I save for DR. JEREMY R ANDERSON (OD)?
Save NPI 1205991692 if you need a stable reference for DR. JEREMY R ANDERSON (OD).
Is DR. JEREMY R ANDERSON (OD)'s NPI currently valid?
The extract we use shows DR. JEREMY R ANDERSON (OD) as active.
Does DR. JEREMY R ANDERSON (OD) list a primary specialty?
If you are matching referrals, note Optometrist for DR. JEREMY R ANDERSON (OD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. JEREMY R ANDERSON (OD)?
The snapshot lists Alexandria, Minnesota for DR. JEREMY R ANDERSON (OD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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