DR. ANDREW MATTSON (O.D.) – Optometrist, NPI 1518037563

DR. ANDREW MATTSON (O.D.) is a healthcare provider. based in Lakeville, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. LD 2823000 (MN). The NPI Number for DR. ANDREW MATTSON (O.D.) is 1518037563

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW MATTSON (O.D.)
NPI
1518037563
Phone
(952) 898-9588
Address
17690 KENWOOD TRL
Enumeration Date
8 November 2006
Last Update Date
2 June 2011

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9528989588
Graduation Year
2001 (25 years ago)
PAC ID
1850333279
Group Practice PAC ID
9032265871
Professional Enrollment ID
I20050525001194
Address ID
MN550449764LA17690TRLX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

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Provider Addresses for DR. ANDREW MATTSON (O.D.)

  • Kenwood Trail, Lakeville, Dakota County, Minnesota, 55044, United States

    LAKEVILLE, MN 550449764

    Phone: (952) 898-9588

    Fax: (952) 898-2030

    Type: Location

  • 18160, Lansford Path, Lakeville, Dakota County, Minnesota, 55044, United States

    LAKEVILLE, MN 550444956

    Phone: (952) 212-0131

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $266.

Total Amount is formed as General ($266) + Research ($0) + Ownership ($0) = $266.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: RxSight Inc ($114).

Total Amount

$266

General + Research + Ownership

Payments

8

Total payment records

General Amount

$266

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2005-05-25

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
I20050525001194IOptometryMNTBD

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 system6666$0
92133Imaging of optic nerve3327$0
99213Established patient office or other outpatient visit, 20-29 minutes3227$0
92134Imaging of retina3024$0
92083Exam of visual field with extended testing2321$0
View full utilization report →

Insurance plans in this area (ZIP 55044)

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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: 9032265871View full group profile
NameSpecialtyState
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ANDREW MATTSON (O.D.)?
DR. ANDREW MATTSON (O.D.) — NPI 1518037563 — is the standard way to identify this listing.
Does CMS list DR. ANDREW MATTSON (O.D.) as active?
Yes — DR. ANDREW MATTSON (O.D.) is active in the NPI listing used on this page.
What healthcare role does DR. ANDREW MATTSON (O.D.) hold?
Scheduling teams often label DR. ANDREW MATTSON (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. ANDREW MATTSON (O.D.) list a practice location?
Patients near Lakeville, Minnesota may find DR. ANDREW MATTSON (O.D.) in results; validate coverage separately.
Why does DR. ANDREW MATTSON (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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