BENJAMIN MICHALICEK (OD) – Optometrist, NPI 1396323176
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
879 OPTOMETRY in MN
Provider Addresses for BENJAMIN MICHALICEK (OD)
272 SNELLING AVE S STE 300
SAINT PAUL, MN 551052829
Phone: (651) 369-7833
Fax: (651) 560-5732
Type: Mailing
1675 AURORA CT., MS F731
AURORA, CO 800452517
Phone:
Type: Mailing
13123 E 16TH AVE
AURORA, CO 800457106
Phone: (720) 777-2020
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 $75.
Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Carl Zeiss Meditec, Inc. ($75).
Total Amount
$75
General + Research + Ownership
Payments
1
Total payment records
General Amount
$75
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Carl Zeiss Meditec, Inc. | $75 |
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: 2024-07-03
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 |
|---|---|---|---|---|
| I20220927002009 | I | Optometry | MN | TBD |
| I20240703001335 | I | Optometry | WI | 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 |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 2,242 | 14 | $0 |
| 92014 | Established patient complete exam of visual system | 64 | 64 | $0 |
| 92250 | Photography of the retina | 34 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 23 | $0 |
| 92004 | New patient complete exam of visual system | 26 | 26 | $0 |
Insurance plans in this area (ZIP 55105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | MI | |
| - | PA | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | MI |
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