NATHAN LANGEMO (O.D.) – Sports Vision Optometrist, NPI 1316272495

NATHAN LANGEMO (O.D.) is a healthcare provider. based in St louis park, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3304 (MN). The NPI Number for NATHAN LANGEMO (O.D.) is 1316272495

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN LANGEMO (O.D.)
NPI
1316272495
Phone
(952) 475-3787
Address
7415 WAYZATA BLVD
Enumeration Date
7 October 2009
Last Update Date
20 August 2012

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
9529352020
Graduation Year
2012 (14 years ago)
PAC ID
2466604400
Group Practice PAC ID
7416031513
Professional Enrollment ID
I20121220000193
Address ID
MN553438087HO29XXXNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

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Provider Addresses for NATHAN LANGEMO (O.D.)

  • Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    ST LOUIS PARK, MN 554261607

    Phone: (952) 475-3787

    Fax: (888) 959-0116

    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 23 Open Payments records for all available years, with a total value of $756.

Total Amount is formed as General ($756) + Research ($0) + Ownership ($0) = $756.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($510).

Total Amount

$756

General + Research + Ownership

Payments

23

Total payment records

General Amount

$756

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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: 2012-12-20

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
I20121220000193IOptometryMNTBD

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 system5151$0
99213Established patient office or other outpatient visit, 20-29 minutes1716$0
92004New patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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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: 7416031513View full group profile

Reviews

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Frequently asked questions

Does NATHAN LANGEMO (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NATHAN LANGEMO (O.D.) uses 1316272495.
Is NATHAN LANGEMO (O.D.) still practicing?
NATHAN LANGEMO (O.D.) is currently listed as active in the public NPI registry.
What healthcare role does NATHAN LANGEMO (O.D.) hold?
Scheduling teams often label NATHAN LANGEMO (O.D.) under Sports Vision Optometrist. Clinical services aligned with this taxonomy classification.
What area does NATHAN LANGEMO (O.D.) serve?
NATHAN LANGEMO (O.D.)'s listing highlights St Louis Park, Minnesota; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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