BRADLEY J LUDWIG (O.D.) – Optometrist, NPI 1528147279

BRADLEY J LUDWIG (O.D.) is a healthcare provider. based in Waconia, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2494 (MN). The NPI Number for BRADLEY J LUDWIG (O.D.) is 1528147279

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY J LUDWIG (O.D.)
NPI
1528147279
Phone
(952) 442-4461
Address
424 W STATE HIGHWAY 5
Enumeration Date
3 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
9524424461
Graduation Year
1993 (33 years ago)
PAC ID
4789611054
Group Practice PAC ID
6002801453
Professional Enrollment ID
I20050719000911
Address ID
MN553871723WA424XX5XXX500
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

881 OPTOMETRY in MN

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Provider Addresses for BRADLEY J LUDWIG (O.D.)

  • State Highway 5, Waconia, Carver County, Minnesota, 55387, United States

    WACONIA, MN 553871723

    Phone: (952) 442-4461

    Fax: (952) 442-1218

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-07-19

PECOS data refreshed: 2026-06-15

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
I20050719000911IOptometryMNTBD

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 system153153$0
99213Established patient office or other outpatient visit, 20-29 minutes14391$0
92012Established patient problem focused exam of visual system6161$0
92134Imaging of retina4537$0
99212Established patient office or other outpatient visit, 10-19 minutes4231$0
View full utilization report →

Insurance plans in this area (ZIP 55387)

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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: 6002801453View full group profile
NameSpecialtyState
Nurse PractitionerMN
Family PracticeID
Family PracticeMN
O B S T E T R I C S/ G Y N E C O L O G YMN
General SurgeryMN
-MN
Nurse PractitionerMN
Internal MedicineMN
Internal MedicineMN
Family PracticeMN

Reviews

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Frequently asked questions

Does BRADLEY J LUDWIG (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BRADLEY J LUDWIG (O.D.) uses 1528147279.
Does CMS list BRADLEY J LUDWIG (O.D.) as active?
Yes — BRADLEY J LUDWIG (O.D.) is active in the NPI listing used on this page.
What healthcare role does BRADLEY J LUDWIG (O.D.) hold?
Scheduling teams often label BRADLEY J LUDWIG (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Where is BRADLEY J LUDWIG (O.D.) based?
BRADLEY J LUDWIG (O.D.) is tied to Waconia, Minnesota in the data we show; additional addresses may exist on the full record.
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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