SHANE JAHRAUS – Optometrist, NPI 1366752248

SHANE JAHRAUS is a healthcare provider. based in Willmar, Minnesota. specializing in OPTOMETRY. They hold a License No. 3341 (MN). The NPI Number for SHANE JAHRAUS is 1366752248

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
SHANE JAHRAUS
NPI
1366752248
Phone
(320) 235-2020
Address
1801 19TH AVE SW
Enumeration Date
13 October 2010
Last Update Date
10 March 2014

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3202145755
Graduation Year
2013 (13 years ago)
PAC ID
6002057122
Group Practice PAC ID
6406756295
Professional Enrollment ID
I20130731000829
Address ID
MN562014946WI1801XSWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for SHANE JAHRAUS

  • 1801 19TH AVE SW

    WILLMAR, MN 562014946

    Phone: (320) 235-2020

    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 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-10-03 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-03

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: 2013-07-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130731000829IOptometryMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes308296$0
99213Established patient office or other outpatient visit, 20-29 minutes144105$0
92133Imaging of optic nerve3735$0
92083Exam of visual field with extended testing2828$0
92134Imaging of retina2626$0
View full utilization report →

Insurance plans in this area (ZIP 56201)

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Provider's Procedures

SHANE JAHRAUS 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 patient3232
OPTOMETRYMN92083Measurement of field of vision during daylight conditions4040
OPTOMETRYMN92134Diagnostic imaging of retina1616

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: 6406756295View full group profile
NameSpecialtyState
O P T O M E T R YMN
O P T O M E T R YNC
O P T O M E T R YMN
O P H T H A L M O L O G YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

Is SHANE JAHRAUS listed with a National Provider Identifier?
Yes — SHANE JAHRAUS has NPI 1366752248 on file in the registry.
Active or inactive — what applies to SHANE JAHRAUS?
You should see SHANE JAHRAUS as active in CMS-hosted NPPES data.
What expertise is attributed to SHANE JAHRAUS?
SHANE JAHRAUS's specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with SHANE JAHRAUS?
Directory geography for SHANE JAHRAUS centers on Willmar, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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