MARY LYNN GREGORY (OD FCOVD) – Optometrist, NPI 1477626661

MARY LYNN GREGORY (OD FCOVD) is a healthcare provider. based in Monticello, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD FCOVD. They hold a License No. 2734 (MN). The NPI Number for MARY LYNN GREGORY (OD FCOVD) is 1477626661

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MARY LYNN GREGORY (OD FCOVD)
NPI
1477626661
Phone
(763) 271-2020
Address
560 CEDAR STREET
Enumeration Date
16 November 2006
Last Update Date
27 December 2014

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
7632712020
Graduation Year
1999 (27 years ago)
PAC ID
4688799158
Group Practice PAC ID
3375580426
Professional Enrollment ID
I20100921000807
Address ID
MN553628403MO560XXSTXX300
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 MARY LYNN GREGORY (OD FCOVD)

  • 560, Cedar Street, Monticello, Wright County, Minnesota, 55362, United States

    MONTICELLO, MN 553628403

    Phone: (763) 271-2020

    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 7 Open Payments records for all available years, with a total value of $250.

Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.

Last reported payment date: 2024-05-24 • Largest payer in this snapshot: Alcon Vision LLC ($120).

Total Amount

$250

General + Research + Ownership

Payments

7

Total payment records

General Amount

$250

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-24

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: 2010-09-21

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
I20100921000807IOptometryMNTBD

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 system4747$0
99213Established patient office or other outpatient visit, 20-29 minutes2418$0
92060Exam to measure eye deviation and range of motion2117$0
View full utilization report →

Insurance plans in this area (ZIP 55362)

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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: 3375580426View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MARY LYNN GREGORY (OD FCOVD) in U.S. healthcare records?
The official identifier for MARY LYNN GREGORY (OD FCOVD) is NPI 1477626661.
Is there an active status for MARY LYNN GREGORY (OD FCOVD)?
For scheduling context, MARY LYNN GREGORY (OD FCOVD) is shown as active in the registry.
What clinical focus is listed for MARY LYNN GREGORY (OD FCOVD)?
At a glance, MARY LYNN GREGORY (OD FCOVD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with MARY LYNN GREGORY (OD FCOVD)?
Directory geography for MARY LYNN GREGORY (OD FCOVD) centers on Monticello, Minnesota.
When was this NPI issued?
Enumeration for MARY LYNN GREGORY (OD FCOVD) is noted as November 16, 2006 where the registry provides it.

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