Active NPI 1770508426 Individual Practitioner Male Practitioner

Gary L Jensen

Optometrist • Chisholm, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gary Jensen is a certified Optometrist practicing in Chisholm, MN. With approximately 51 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1975, Gary Jensen delivers high-quality medical care to the local community at 11 NW FIRST AVE.

Gary Jensen is affiliated with Sundell Eye Associates, Pa and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

11 Nw First Ave

Chisholm, MN 557191811

Telephone 2182544393

Fax 2182545471

Associated Practice Facility / Clinic

🏢 Bechthold Eye Care Pa Facility NPI 1881259794

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Chisholm, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs +11.5 yrs vs City Avg

City Avg: 39.5 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Chisholm, MN (1178 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

19.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jensen (51 Years) 51 Yrs

Chisholm Specialty Average (39.5 Years) 39.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	18	18	$160.00	$128.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	111	107	$132.70	$126.28
99213 Established patient office or other outpatient visit, typically 15 minutes	69	31	$81.09	$71.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	15	$111.00	$107.45
92250 Photography of the retina	36	25	$85.00	$50.25
92004 New patient complete exam of visual system	29	29	$158.66	$147.00
92083 Exam of visual field with extended testing	18	17	$90.00	$62.33
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$50.00	$26.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	141	129	$129.96	$126.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	22	$110.00	$99.57
99213 Established patient office or other outpatient visit, typically 15 minutes	79	29	$80.00	$69.77
92250 Photography of the retina	47	27	$84.04	$54.90
92004 New patient complete exam of visual system	29	29	$150.00	$148.04
92083 Exam of visual field with extended testing	22	14	$90.00	$62.44
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$50.00	$25.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	151	137	$125.00	$123.56
99213 Established patient office or other outpatient visit, typically 15 minutes	100	33	$80.00	$70.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	28	$110.00	$104.59
92250 Photography of the retina	54	31	$85.00	$66.06
92004 New patient complete exam of visual system	31	31	$150.00	$144.00
92083 Exam of visual field with extended testing	30	17	$90.00	$64.78
92020 Examination of cornea and iris using lens device and slit lamp	16	16	$50.00	$25.70
92133 Imaging of optic nerve	12	12	$50.00	$22.49

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 1610

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

Commercial Insurance / Payer ID Mdma2 Medica Pin

2200981

Commercial Insurance / Payer ID Bcma Bcbs Pin

OD327JE

Commercial Insurance / Payer ID Pabs Clarity Vision Pin

411260738

Commercial Insurance / Payer ID First First Plan Pin

OD327JE

Commercial Insurance / Payer ID Bois Preferred One Pin

01020509

Commercial Insurance / Payer ID Pre00 United Health Pin

01020509

Commercial Insurance / Payer ID Mccs1 Medica Pin

2200980

Commercial Insurance / Payer ID Anthem Bcbs Pin

OD327JE

Commercial Insurance / Payer ID Firsd First Plan Disp Pin

OD327JE

Commercial Insurance / Payer ID Administar Federal(Dmerc), Inc.

0150730001

Hospital & Practice Group Affiliations

Sundell Eye Associates, Pa

602 N 6th Ave W, Virginia, MN 557922375

Phone: 2187414411

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Kayla Bechthold , OD

Optometrist

NPI 1811924772

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 05, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2010

Registered at 11 NW FIRST AVE, CHISHOLM, MN 557191811 (Tel: 2182544393)

📍

Updated Business Mailing Address January 05, 2010

Registered at 11 NW FIRST AVE, CHISHOLM, MN 557191811 (Tel: 2182544393)

👤

Provider Name / Credentials Updated January 05, 2010

Recorded as GARY JENSEN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2010

Optometrist (License #1610 in MN)

🟢

Initial NPI Registration & Enumeration July 13, 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: 1770508426

Entity Type:

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

Enumeration Date: July 13, 2006

Last Update: January 05, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

11 Nw First Ave

Chisholm, MN 557191811

Phone: 2182544393

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.