Active NPI 1407880057 Individual Practitioner Female Practitioner

Dr. Sara A Fredrickson , OD

Optometrist • Bemidji, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sara Fredrickson, OD is a certified Optometrist practicing in Bemidji, MN. With approximately 22 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 2004, Dr. Fredrickson delivers high-quality medical care to the local community at 1611 ANNE ST NW.

Dr. Fredrickson is affiliated with Sanford Health Of Northern Minnesota and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1611 Anne St Nw

Bemidji, MN 566015114

Telephone 2183332020

Associated Practice Facility / Clinic

🏢 Sanford Health Of Northern Minnesota Facility NPI 1154587780

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Bemidji, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +5.1 yrs vs City Avg

City Avg: 16.9 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

19 Specialists

Practicing in Bemidji, MN (1178 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fredrickson (22 Years) 22 Yrs

Bemidji Specialty Average (16.9 Years) 16.9 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
66984 Removal of cataract with insertion of lens	3,330	23	$3.05	$1.10
92014 Established patient complete exam of visual system	469	458	$93.00	$73.09
99213 Established patient office or other outpatient visit, typically 15 minutes	183	134	$82.00	$62.59
92134 Imaging of retina	171	134	$74.02	$24.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	100	$121.00	$92.47
92060 Exam to measure eye deviation and range of motion	119	78	$111.00	$35.91
92133 Imaging of optic nerve	108	105	$69.00	$20.66
92083 Exam of visual field with extended testing	105	93	$80.40	$25.95
92004 New patient complete exam of visual system	70	70	$115.00	$90.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$101.00	$76.98
76514 Ultrasound scan of cornea to determine thickness	18	18	$31.00	$7.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	446	430	$93.00	$75.62
99213 Established patient office or other outpatient visit, typically 15 minutes	192	140	$82.00	$62.85
92134 Imaging of retina	144	112	$73.00	$24.72
92133 Imaging of optic nerve	105	98	$69.00	$21.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	77	$121.00	$94.34
92083 Exam of visual field with extended testing	101	89	$79.00	$26.77
92060 Exam to measure eye deviation and range of motion	93	62	$111.00	$36.70
92004 New patient complete exam of visual system	86	86	$115.00	$93.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$101.00	$79.73
76514 Ultrasound scan of cornea to determine thickness	16	16	$31.00	$7.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	424	416	$99.80	$76.25
99213 Established patient office or other outpatient visit, typically 15 minutes	252	163	$82.00	$65.00
92134 Imaging of retina	142	104	$73.00	$25.08
92060 Exam to measure eye deviation and range of motion	113	71	$111.00	$36.97
92083 Exam of visual field with extended testing	103	89	$79.00	$26.70
92133 Imaging of optic nerve	97	92	$69.00	$21.74
92004 New patient complete exam of visual system	85	85	$121.27	$95.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	56	$121.00	$96.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$105.80	$81.12
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$25.00	$20.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	444	430	$105.00	$77.59
99213 Established patient office or other outpatient visit, typically 15 minutes	251	154	$76.29	$64.60
92134 Imaging of retina	109	81	$72.52	$25.58
92060 Exam to measure eye deviation and range of motion	102	66	$111.00	$37.61
92004 New patient complete exam of visual system	90	90	$126.04	$96.60
92133 Imaging of optic nerve	89	84	$69.00	$22.02
92083 Exam of visual field with extended testing	86	74	$78.55	$27.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	57	$110.06	$96.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$94.41	$82.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	405	394	$101.39	$80.35
99213 Established patient office or other outpatient visit, typically 15 minutes	272	161	$58.00	$51.11
92060 Exam to measure eye deviation and range of motion	147	80	$109.95	$38.75
92134 Imaging of retina	85	60	$71.58	$26.12
92133 Imaging of optic nerve	76	72	$69.00	$22.81
92004 New patient complete exam of visual system	72	72	$121.94	$99.96
92083 Exam of visual field with extended testing	71	68	$77.11	$28.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	45	$90.00	$76.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$87.00	$75.31
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$58.00	$50.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	452	438	$96.61	$79.78
99213 Established patient office or other outpatient visit, typically 15 minutes	254	152	$58.00	$50.39
92060 Exam to measure eye deviation and range of motion	134	77	$106.94	$38.79
92004 New patient complete exam of visual system	82	82	$117.56	$99.91
92134 Imaging of retina	76	62	$71.00	$25.98
92133 Imaging of optic nerve	68	65	$69.00	$22.53
92083 Exam of visual field with extended testing	67	60	$72.85	$28.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	41	$90.00	$73.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	266	260	$92.57	$79.21
99213 Established patient office or other outpatient visit, typically 15 minutes	218	137	$58.00	$49.77
92060 Exam to measure eye deviation and range of motion	103	65	$103.49	$38.56
92004 New patient complete exam of visual system	76	76	$113.63	$98.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	48	$90.00	$75.32
92083 Exam of visual field with extended testing	47	42	$69.77	$27.90
92134 Imaging of retina	38	35	$71.00	$26.11
92133 Imaging of optic nerve	38	37	$69.00	$22.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$101.92	$74.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	243	239	$90.12	$78.90
99213 Established patient office or other outpatient visit, typically 15 minutes	214	127	$57.04	$49.07
92060 Exam to measure eye deviation and range of motion	118	63	$102.00	$38.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	56	$87.24	$75.17
92004 New patient complete exam of visual system	57	57	$111.00	$99.12
92083 Exam of visual field with extended testing	51	47	$68.61	$27.85
92133 Imaging of optic nerve	41	35	$68.63	$22.53
92134 Imaging of retina	29	23	$70.10	$25.76

Medical Specialties & State Licenses

CMS Verified: 2022-03-07

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 3005

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

539124500 (MN)

Commercial Insurance / Payer ID Blue Cross Mn

375M4FR (MN)

Commercial Insurance / Payer ID Medica

2202923 (MN)

Hospital & Practice Group Affiliations

Sanford Health Of Northern Minnesota

1611 Anne St Nw, Bemidji, MN 566015114

Phone: 2183335000

Sanford Health Of Northern Minnesota

1656 Central St W, Bagley, MN 566214357

Phone: 2186942442

Sanford Health Of Northern Minnesota

1656 Central St W, Bagley, MN 566214357

Phone: 2186942384

Practice Associates & Co-Workers

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

14 Associated Practitioners

Dr. Stephen Vandyke , OD

Optometrist

NPI 1003923012

Doctor of Optometry

Dr. Germaine Cheslock , OD

Optometrist

NPI 1154468890

Doctor of Optometry

Dr. Shelby Potkin , MD

Ophthalmology

NPI 1184184277

Doctor of Medicine (M.D.)

Dr. Natalie Roholt , MD

Dermatology

NPI 1215958434

Doctor of Medicine (M.D.)

Dr. Lucas Genereux , OD

Optometrist

NPI 1346592680

Doctor of Optometry

Dr. Tyler Junttila , MD

Ophthalmology

NPI 1447772991

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 07, 2022

Registered at 1611 ANNE ST NW, BEMIDJI, MN 566015114 (Tel: 2183332020)

📍

Updated Business Mailing Address March 07, 2022

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 212-3RD STREET, BEMIDJI, MN 56601 (Tel: 2187518313)

📍

Updated Business Mailing Address July 08, 2007

Registered at 212-3RD STREET, BEMIDJI, MN 56601 (Tel: 2187518313)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as SARA FREDRICKSON, OD

🎓

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

Optometrist (License #3005 in MN)

🟢

Initial NPI Registration & Enumeration July 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1407880057

Entity Type:

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

Enumeration Date: July 10, 2006

Last Update: March 07, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

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.