Active NPI 1205801032 Individual Practitioner Male Practitioner

Dr. David B Pelowski , OD

Optometrist • Baxter, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Pelowski, OD is a certified Optometrist practicing in Baxter, MN. With approximately 28 years of clinical experience since graduating from Ohio State University - College Of Optometry in 1998, Dr. Pelowski delivers high-quality medical care to the local community at 14453 EDGEWOOD DR.

Dr. Pelowski is affiliated with Associates In Eyecare and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

14453 Edgewood Dr

Baxter, MN 564258459

Telephone 2188291789

Fax 2188291780

Associated Practice Facility / Clinic

🏢 Pine River Eye Center, Inc. Facility NPI 1508165572

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Baxter, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +6.6 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

9 Specialists

Practicing in Baxter, MN (1178 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

19.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pelowski (28 Years) 28 Yrs

Baxter Specialty Average (21.4 Years) 21.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	75	75	$125.30	$123.30
99213 Established patient office or other outpatient visit, typically 15 minutes	44	26	$120.44	$88.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$175.17	$124.47
92004 New patient complete exam of visual system	13	13	$150.21	$147.80
92083 Exam of visual field with extended testing	13	13	$110.46	$62.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,800	13	$7.34	$1.17
99213 Established patient office or other outpatient visit, typically 15 minutes	44	22	$121.92	$88.05
92014 Established patient complete exam of visual system	41	41	$127.00	$125.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$177.80	$124.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	52	52	$116.70	$115.59
99213 Established patient office or other outpatient visit, typically 15 minutes	32	22	$101.55	$83.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	15	$132.93	$111.00
92004 New patient complete exam of visual system	13	13	$144.00	$141.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,620	13	$7.35	$1.20
92014 Established patient complete exam of visual system	80	80	$105.59	$105.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	21	$100.53	$100.53
99213 Established patient office or other outpatient visit, typically 15 minutes	22	18	$75.09	$75.09
92004 New patient complete exam of visual system	18	18	$125.89	$125.89
92133 Imaging of optic nerve	14	13	$110.34	$34.40
92083 Exam of visual field with extended testing	12	11	$87.20	$64.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	82	81	$105.30	$105.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	24	$100.16	$99.97
99213 Established patient office or other outpatient visit, typically 15 minutes	25	18	$75.00	$74.31
92004 New patient complete exam of visual system	13	13	$125.22	$125.13
92250 Photography of the retina	12	12	$100.22	$45.56
92134 Imaging of retina	11	11	$110.36	$40.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,949	15	$7.44	$1.41
92014 Established patient complete exam of visual system	98	98	$105.75	$104.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	21	$100.48	$99.00
99213 Established patient office or other outpatient visit, typically 15 minutes	33	24	$75.11	$73.14
92004 New patient complete exam of visual system	22	22	$126.14	$124.68
92134 Imaging of retina	12	12	$110.82	$40.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	49	49	$105.63	$103.65
99213 Established patient office or other outpatient visit, typically 15 minutes	28	18	$75.18	$67.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$100.63	$98.34
92133 Imaging of optic nerve	13	12	$110.84	$35.10
92004 New patient complete exam of visual system	11	11	$126.25	$124.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,620	14	$7.37	$1.32
92014 Established patient complete exam of visual system	77	76	$105.67	$102.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	22	$100.68	$91.68
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$75.07	$65.14
92004 New patient complete exam of visual system	18	18	$125.65	$122.16
92133 Imaging of optic nerve	12	12	$111.00	$34.31

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 2699

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

197023200 (MN)

Hospital & Practice Group Affiliations

Associates In Eyecare

14453 Edgewood Dr, Baxter, MN 564258459

Phone: 2188291789

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Daniel Clayton , OD

Optometrist

NPI 1477862555

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active July 19, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 19, 2017

Registered at 14453 EDGEWOOD DR, BAXTER, MN 564258459 (Tel: 2188291789)

📍

Updated Business Mailing Address July 19, 2017

Registered at 424 BARCLAY AVE., P O BOX 457, PINE RIVER, MN 564740457 (Tel: (218) 587-2020)

👤

Provider Name / Credentials Updated July 19, 2017

Recorded as DAVID PELOWSKI, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2017

Optometrist (License #2699 in MN)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 424 BARCLAY AVE., PINE RIVER, MN 564740457 (Tel: 2185872020)

📍

Updated Business Mailing Address July 08, 2007

Registered at 424 BARCLAY AVE., P O BOX 457, PINE RIVER, MN 564740457 (Tel: 2185872020)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID PELOWSKI, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #2699 in MN)

🟢

Initial NPI Registration & Enumeration February 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205801032

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 23, 2006

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

424 Barclay Ave., P O Box 457

Pine River, MN 564740457

Phone: 2185872020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.