DR. BECKY LEE MCILONIE VANDEBERG (O.D.) – Optometrist, NPI 1245430370
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
879 OPTOMETRY in MN
Provider Addresses for DR. BECKY LEE MCILONIE VANDEBERG (O.D.)
1244 Washington Ave
Detroit Lakes, MN 565013906
Phone: (218) 847-2020
Fax: (218) 847-6165
Type: Location
400, East 3rd Street, Duluth, Saint Louis County, Minnesota, 55805, United States
DULUTH, MN 558051951
Phone:
Type: Mailing
1702 UNIVERSITY DR S
FARGO, ND 581034940
Phone: (701) 364-3300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $84.
Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.
Last reported payment date: 2023-07-24 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($84).
Total Amount
$84
General + Research + Ownership
Payments
1
Total payment records
General Amount
$84
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $84 |
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: 2020-05-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101116001061 | I | Optometry | MN | TBD |
| I20200511001836 | I | Optometry | ND | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 274 | 274 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 191 | 134 | $0 |
| 92134 | Imaging of retina | 105 | 93 | $0 |
| 92133 | Imaging of optic nerve | 50 | 49 | $0 |
| 92083 | Exam of visual field with extended testing | 42 | 39 | $0 |
Insurance plans in this area (ZIP 56501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | ND | |
| Interventional Radiology | ND | |
| General Surgery | MN | |
| Nurse Practitioner | ND | |
| Physical Therapist In Private Practice | ND | |
| Nurse Practitioner | ND | |
| Hospitalist, Internal Medicine | ND | |
| Family Practice | ND | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | ND |
Reviews
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