Active NPI 1578755872 Individual Practitioner Male Practitioner

Dr. Peter Mellema , MD

Ophthalmology • Edina, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Mellema, MD is a certified Ophthalmology practicing in Edina, MN. With approximately 22 years of clinical experience since graduating from University Of Minnesota Medical School in 2004, Dr. Mellema delivers high-quality medical care to the local community at 6533 DREW AVE S.

Dr. Mellema is affiliated with Ophthalmology Associates and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

6533 Drew Ave S

Edina, MN 554352103

Telephone 9529277138

Associated Practice Facility / Clinic

🏢 Southdale Optical Co Facility NPI 1871576306

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Edina, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +2.2 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 24.4 Yrs

Regional Practice Density

52 Specialists

Practicing in Edina, MN (457 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mellema (22 Years) 22 Yrs

Edina Specialty Average (19.8 Years) 19.8 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	245	244	$340.91	$125.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	180	$309.73	$125.21
99213 Established patient office or other outpatient visit, typically 15 minutes	114	92	$278.60	$88.82
92133 Imaging of optic nerve	110	93	$118.00	$35.03
92083 Exam of visual field with extended testing	56	55	$256.75	$63.31
66984 Removal of cataract with insertion of lens	51	34	$2100.00	$525.65
92136 Measurement of corneal curvature and depth of eye	50	36	$188.00	$37.92
92134 Imaging of retina	27	26	$118.00	$39.35
66821 Removal of recurring cataract in lens capsule using a laser	24	20	$1054.50	$313.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$431.20	$161.79
92004 New patient complete exam of visual system	11	11	$407.27	$148.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	214	$295.00	$124.64
92014 Established patient complete exam of visual system	246	246	$324.00	$125.67
99213 Established patient office or other outpatient visit, typically 15 minutes	215	169	$224.30	$87.89
92133 Imaging of optic nerve	138	124	$118.00	$35.46
92136 Measurement of corneal curvature and depth of eye	82	55	$191.80	$38.86
66984 Removal of cataract with insertion of lens	71	45	$2100.00	$522.45
92083 Exam of visual field with extended testing	70	67	$246.00	$62.47
92134 Imaging of retina	44	42	$118.00	$39.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$419.53	$161.42
66821 Removal of recurring cataract in lens capsule using a laser	25	24	$999.20	$344.25
92004 New patient complete exam of visual system	20	20	$386.00	$149.50
92020 Examination of cornea and iris using lens device and slit lamp	14	12	$98.00	$27.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	287	237	$210.33	$89.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	258	236	$291.59	$126.68
92014 Established patient complete exam of visual system	237	237	$324.00	$127.05
92133 Imaging of optic nerve	156	144	$118.00	$36.00
92083 Exam of visual field with extended testing	84	77	$246.00	$63.19
92136 Measurement of corneal curvature and depth of eye	54	40	$199.56	$41.99
92134 Imaging of retina	49	46	$118.00	$40.29
66984 Removal of cataract with insertion of lens	47	32	$2100.00	$522.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$415.00	$163.69
92004 New patient complete exam of visual system	23	23	$386.00	$150.37
66821 Removal of recurring cataract in lens capsule using a laser	21	20	$941.90	$346.09
76514 Ultrasound scan of cornea to determine thickness	16	16	$55.00	$10.70
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$98.00	$28.08
92060 Exam to measure eye deviation and range of motion	11	11	$164.00	$62.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	332	297	$268.34	$128.81
99213 Established patient office or other outpatient visit, typically 15 minutes	272	238	$194.04	$90.52
92133 Imaging of optic nerve	183	168	$118.00	$36.61
92014 Established patient complete exam of visual system	153	153	$309.97	$128.28
92136 Measurement of corneal curvature and depth of eye	86	57	$195.26	$44.40
92083 Exam of visual field with extended testing	77	70	$246.00	$64.35
66984 Removal of cataract with insertion of lens	73	48	$2100.00	$539.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$390.09	$165.66
92134 Imaging of retina	40	37	$118.00	$41.00
66821 Removal of recurring cataract in lens capsule using a laser	40	38	$1078.50	$371.54
92004 New patient complete exam of visual system	28	28	$378.29	$152.49
76514 Ultrasound scan of cornea to determine thickness	25	25	$55.00	$10.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$261.54	$111.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	302	268	$189.30	$74.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	236	217	$219.54	$108.30
92133 Imaging of optic nerve	165	147	$118.00	$36.92
92014 Established patient complete exam of visual system	105	105	$250.00	$127.72
92083 Exam of visual field with extended testing	64	59	$246.00	$64.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$294.84	$162.30
92136 Measurement of corneal curvature and depth of eye	53	38	$202.72	$52.02
66984 Removal of cataract with insertion of lens	48	31	$2100.00	$546.82
92134 Imaging of retina	44	44	$118.00	$40.34
66821 Removal of recurring cataract in lens capsule using a laser	26	24	$870.00	$346.51
92004 New patient complete exam of visual system	23	23	$278.00	$152.52
76514 Ultrasound scan of cornea to determine thickness	20	20	$55.00	$11.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$210.00	$106.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	297	223	$169.81	$73.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	259	220	$204.14	$107.06
92133 Imaging of optic nerve	162	135	$118.00	$36.30
92014 Established patient complete exam of visual system	135	134	$247.20	$126.33
92134 Imaging of retina	66	57	$118.00	$40.38
92083 Exam of visual field with extended testing	64	60	$246.00	$63.55
92136 Measurement of corneal curvature and depth of eye	59	40	$202.10	$56.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$284.36	$157.66
66984 Removal of cataract with insertion of lens	46	29	$2100.00	$619.62
66821 Removal of recurring cataract in lens capsule using a laser	38	34	$794.68	$326.07
92004 New patient complete exam of visual system	32	32	$269.19	$150.81
76514 Ultrasound scan of cornea to determine thickness	21	21	$55.00	$11.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$191.38	$105.68
92060 Exam to measure eye deviation and range of motion	15	12	$147.00	$64.61
92020 Examination of cornea and iris using lens device and slit lamp	13	12	$98.00	$27.61
92250 Photography of the retina	11	11	$167.45	$50.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$105.82	$44.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	155	$186.76	$105.86
99213 Established patient office or other outpatient visit, typically 15 minutes	174	143	$146.94	$71.68
92014 Established patient complete exam of visual system	117	116	$223.00	$126.43
92133 Imaging of optic nerve	103	82	$118.00	$37.21
66984 Removal of cataract with insertion of lens	64	42	$3381.51	$635.76
92134 Imaging of retina	43	41	$120.52	$40.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$248.29	$161.12
92136 Measurement of corneal curvature and depth of eye	38	27	$185.95	$61.62
66821 Removal of recurring cataract in lens capsule using a laser	35	27	$743.00	$321.19
92083 Exam of visual field with extended testing	34	34	$242.38	$64.67
76519 Ultrasound of eye for determination of lens power	18	18	$476.65	$70.84
76514 Ultrasound scan of cornea to determine thickness	18	18	$55.00	$14.53
92020 Examination of cornea and iris using lens device and slit lamp	13	12	$99.12	$26.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$87.00	$43.48
92004 New patient complete exam of visual system	12	12	$231.00	$150.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$167.00	$105.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	230	162	$144.26	$71.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	165	$183.92	$105.80
92133 Imaging of optic nerve	104	85	$116.49	$36.46
92014 Established patient complete exam of visual system	78	78	$219.79	$123.39
92083 Exam of visual field with extended testing	51	44	$241.84	$64.61
66984 Removal of cataract with insertion of lens	46	33	$3669.57	$631.50
92134 Imaging of retina	31	28	$120.30	$40.05
92136 Measurement of corneal curvature and depth of eye	26	20	$191.00	$69.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$243.60	$160.13
76519 Ultrasound of eye for determination of lens power	24	24	$462.75	$85.07
76514 Ultrasound scan of cornea to determine thickness	22	22	$59.48	$14.12
92004 New patient complete exam of visual system	21	21	$224.51	$149.07
66821 Removal of recurring cataract in lens capsule using a laser	20	18	$656.60	$327.27
92020 Examination of cornea and iris using lens device and slit lamp	17	16	$97.31	$26.85

Medical Specialties & State Licenses

CMS Verified: 2021-04-26

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MN 48177

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

Ophthalmology Associates

6533 Drew Ave S, Edina, MN 554352103

Phone: 9529277138

Practice Associates & Co-Workers

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

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active March 31, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2017

Registered at 6533 DREW AVE S, EDINA, MN 554352103 (Tel: 9529277138)

📍

Updated Business Mailing Address March 31, 2017

Registered at 6533 DREW AVE S, EDINA, MN 554352103 (Tel: 9529277138)

👤

Provider Name / Credentials Updated March 31, 2017

Recorded as PETER MELLEMA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2017

Ophthalmology (License #48177 in MN)

✅

NPI Profile Active May 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 05, 2011

Registered at 400 EAST 3RD STREET, DULUTH, MN 55805 (Tel: 2187863937)

📍

Updated Business Mailing Address May 05, 2011

Registered at 400 EAST 3RD STREET, DULUTH, MN 55805 (Tel: 2187863937)

👤

Provider Name / Credentials Updated May 05, 2011

Recorded as PETER MELLEMA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2011

Ophthalmology (License #48177 in MN)

🟢

Initial NPI Registration & Enumeration August 10, 2007

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: 1578755872

Entity Type:

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

Enumeration Date: August 10, 2007

Last Update: April 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6533 Drew Ave S

Edina, MN 554352103

Phone: 9529277138

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.