STACY PIRRUCCELLO (OD) – Optometrist, NPI 1780161539
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
879 OPTOMETRY in MN
Provider Addresses for STACY PIRRUCCELLO (OD)
915 COUNTY ROAD 42 W STE 2036
BURNSVILLE, MN 553064427
Phone: (952) 435-5011
Type: Location
Isleview Road, Grand Rapids, Itasca County, Minnesota, United States
GRAND RAPIDS, MN 557449769
Phone: (218) 259-5782
Type: Mailing
13195 WEAVER LAKE RD
MAPLE GROVE, MN 553699410
Phone: (763) 420-5112
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $73.
Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.
Last reported payment date: 2024-04-21 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($52).
Total Amount
$73
General + Research + Ownership
Payments
2
Total payment records
General Amount
$73
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $52 |
| CooperVision Inc. | $21 |
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: 2018-10-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181025002260 | I | Optometry | MN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55306)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | CO | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.