DR. RYAN M. FEDOR (O.D.) – Optometrist, NPI 1518998996

DR. RYAN M. FEDOR (O.D.) is a healthcare provider. based in Hugo, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3016 (MN). The NPI Number for DR. RYAN M. FEDOR (O.D.) is 1518998996

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. RYAN M. FEDOR (O.D.)
NPI
1518998996
Phone
(651) 275-3000
Address
14688 Everton Ave N Ste 106
Enumeration Date
5 July 2006
Last Update Date
14 May 2020

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
6512753000
Graduation Year
2005 (21 years ago)
PAC ID
4183654809
Group Practice PAC ID
4486552437
Professional Enrollment ID
I20181227001393
Address ID
WI540171219NE525XXAVEX401
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

Provider Addresses for DR. RYAN M. FEDOR (O.D.)

  • 14688 Everton Ave N Ste 106

    Hugo, MN 550386072

    Phone: (651) 275-3000

    Fax: (651) 275-3027

    Type: Location

  • 237 Radio Dr Ste 100

    Woodbury, MN 551254478

    Phone: (651) 275-3000

    Fax: (651) 275-3027

    Type: Location

  • 1719, Tower Drive West, Stillwater, Washington County, Minnesota, 55082, United States

    STE 100

    STILLWATER, MN 550827512

    Phone: (651) 275-3000

    Fax: (651) 275-3027

    Type: Mailing

  • Curve Crest Boulevard West, Stillwater, Washington County, Minnesota, 55082, United States

    STILLWATER, MN 55082

    Phone: (651) 275-3000

    Fax: (651) 275-3027

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($29).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

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: 2018-12-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050812000590IOptometryMNTBD
I20181227001393IOptometryWITBD

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 system206206$0
92250Photography of the retina10196$0
92004New patient complete exam of visual system8181$0
99214Established patient office or other outpatient visit, 30-39 minutes4728$0
92133Imaging of optic nerve4646$0
View full utilization report →

Insurance plans in this area (ZIP 55038)

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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: 4486552437View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMN
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
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
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

Can I use this page to confirm DR. RYAN M. FEDOR (O.D.)'s NPI?
Yes. DR. RYAN M. FEDOR (O.D.) is listed with NPI 1518998996 in the public NPI dataset.
Can I rely on DR. RYAN M. FEDOR (O.D.) being an active provider?
As of the registry snapshot, DR. RYAN M. FEDOR (O.D.) is marked active.
What taxonomy line describes DR. RYAN M. FEDOR (O.D.)?
For research purposes, treat DR. RYAN M. FEDOR (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. RYAN M. FEDOR (O.D.)?
DR. RYAN M. FEDOR (O.D.)'s geographic hint is Hugo, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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