MARK A KAPPHAHN (OD) – Optometrist, NPI 1912979006
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
879 OPTOMETRY in MN
Provider Addresses for MARK A KAPPHAHN (OD)
401 PHALEN BLVD
SAINT PAUL, MN 551305302
Phone: (651) 254-7500
Type: Location
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 554254516
Phone:
Type: Mailing
34th Avenue South, Bloomington, Hennepin County, Minnesota, 55425, United States
BLOOMINGTON, MN 554251672
Phone: (952) 883-5463
Fax: (952) 883-5395
Type: Mailing
Healthpartners Como, 2500, Como Avenue, Saint Paul, Ramsey County, Minnesota, 55108, United States
MAIL STOP 31100A
SAINT PAUL, MN 551081460
Phone: (651) 641-6200
Fax: (651) 641-6205
Type: Location
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: 2005-04-11
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 |
|---|---|---|---|---|
| I20050411000999 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 188 | 188 | $0 |
| 92004 | New patient complete exam of visual system | 41 | 41 | $0 |
| 92083 | Exam of visual field with extended testing | 33 | 31 | $0 |
| 92133 | Imaging of optic nerve | 19 | 17 | $0 |
| 92134 | Imaging of retina | 18 | 18 | $0 |
Insurance plans in this area (ZIP 55130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Clinical Psychologist | MN | |
| - | MN | |
| P S Y C H I A T R Y | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| P O D I A T R Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
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