Active NPI 1104804962 Individual Practitioner Female Practitioner

Dr. Janice M Sinclair , MD

Ophthalmology • Maple Grove, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Janice Sinclair, MD is a certified Ophthalmology practicing in Maple Grove, MN. With approximately 30 years of clinical experience since graduating from University Of Minnesota Medical School in 1996, Dr. Sinclair delivers high-quality medical care to the local community at 12000 ELM CREEK BLVD N STE 100.

Dr. Sinclair is affiliated with Northwest Eye Clinic Llc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

12000 Elm Creek Blvd N Ste 100

Maple Grove, MN 553697074

Telephone 7634167600

Fax 7634167634

Associated Practice Facility / Clinic

🏢 Distinctive Eyewear, Llc Facility NPI 1043392632

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Maple Grove, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +6.3 yrs vs City Avg

City Avg: 23.7 Yrs

State Avg: 24.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Maple Grove, MN (457 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sinclair (30 Years) 30 Yrs

Maple Grove Specialty Average (23.7 Years) 23.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	314	275	$185.00	$88.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	185	$272.26	$124.69
92014 Established patient complete exam of visual system	131	131	$320.56	$124.66
92083 Exam of visual field with extended testing	125	118	$164.00	$63.12
92133 Imaging of optic nerve	124	119	$112.00	$34.43
92134 Imaging of retina	27	27	$114.00	$38.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$271.00	$107.88
92012 Established patient problem focused exam of visual system	19	18	$224.00	$88.63
76514 Ultrasound scan of cornea to determine thickness	13	13	$43.00	$10.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$411.00	$161.15
92004 New patient complete exam of visual system	12	12	$382.00	$148.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	332	297	$185.00	$89.20
92014 Established patient complete exam of visual system	214	214	$320.00	$127.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	146	$271.00	$126.13
92083 Exam of visual field with extended testing	146	137	$164.00	$63.31
92133 Imaging of optic nerve	139	134	$112.81	$34.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$271.00	$109.79
92134 Imaging of retina	30	29	$114.00	$39.75
92004 New patient complete exam of visual system	18	18	$382.00	$150.89
66821 Removal of recurring cataract in lens capsule using a laser	14	14	$840.00	$308.62
76514 Ultrasound scan of cornea to determine thickness	13	13	$43.00	$10.56

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	341	321	$271.00	$127.50
99213 Established patient office or other outpatient visit, typically 15 minutes	338	280	$185.00	$90.24
92133 Imaging of optic nerve	141	138	$112.00	$35.80
92083 Exam of visual field with extended testing	119	117	$164.00	$63.70
92014 Established patient complete exam of visual system	101	101	$320.00	$127.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$411.00	$164.71
92134 Imaging of retina	31	29	$114.00	$40.20
66821 Removal of recurring cataract in lens capsule using a laser	25	25	$1041.60	$347.14
92004 New patient complete exam of visual system	14	14	$382.00	$151.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$271.00	$105.51

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	430	406	$271.00	$129.71
99213 Established patient office or other outpatient visit, typically 15 minutes	389	349	$185.00	$91.24
92133 Imaging of optic nerve	151	151	$113.48	$36.10
92083 Exam of visual field with extended testing	151	148	$165.09	$64.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$411.00	$167.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$271.00	$111.89
92014 Established patient complete exam of visual system	35	35	$320.00	$128.98
66821 Removal of recurring cataract in lens capsule using a laser	28	27	$1080.00	$356.80
92134 Imaging of retina	25	23	$114.00	$40.62
92004 New patient complete exam of visual system	16	16	$382.00	$153.55
92060 Exam to measure eye deviation and range of motion	11	11	$166.00	$64.88

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	410	400	$271.00	$109.53
99213 Established patient office or other outpatient visit, typically 15 minutes	271	208	$185.00	$75.16
92133 Imaging of optic nerve	141	139	$112.00	$36.61
92083 Exam of visual field with extended testing	119	117	$164.00	$64.93
92014 Established patient complete exam of visual system	109	109	$320.00	$128.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$411.00	$163.93
92012 Established patient problem focused exam of visual system	29	29	$224.00	$90.26
92134 Imaging of retina	28	27	$114.00	$40.89
66821 Removal of recurring cataract in lens capsule using a laser	21	21	$880.00	$318.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$271.00	$107.70
92004 New patient complete exam of visual system	12	12	$382.00	$153.30
76514 Ultrasound scan of cornea to determine thickness	12	12	$43.00	$11.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	471	471	$315.91	$127.98
99213 Established patient office or other outpatient visit, typically 15 minutes	218	180	$183.84	$74.04
92133 Imaging of optic nerve	143	142	$112.78	$36.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	125	$270.37	$108.43
92083 Exam of visual field with extended testing	125	119	$164.00	$65.21
92012 Established patient problem focused exam of visual system	118	102	$218.36	$88.87
92004 New patient complete exam of visual system	81	81	$377.46	$152.72
92134 Imaging of retina	33	32	$114.00	$39.57
66821 Removal of recurring cataract in lens capsule using a laser	24	24	$951.50	$341.09
92002 New patient problem focused exam of visual system	20	20	$207.00	$85.21
68761 Closure of tear duct opening using plug	17	12	$418.65	$137.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$411.00	$162.63
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$70.08	$28.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	311	307	$312.00	$126.34
99213 Established patient office or other outpatient visit, typically 15 minutes	103	81	$182.00	$72.04
92012 Established patient problem focused exam of visual system	94	77	$215.00	$87.79
92133 Imaging of optic nerve	63	62	$112.00	$37.02
92083 Exam of visual field with extended testing	62	61	$164.00	$64.63
92004 New patient complete exam of visual system	59	59	$374.00	$151.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$267.00	$106.21
92134 Imaging of retina	18	18	$114.00	$41.14
66821 Removal of recurring cataract in lens capsule using a laser	13	13	$963.69	$346.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	315	315	$312.00	$123.32
99213 Established patient office or other outpatient visit, typically 15 minutes	114	77	$182.00	$71.82
92012 Established patient problem focused exam of visual system	94	74	$215.00	$85.20
92004 New patient complete exam of visual system	69	69	$374.00	$148.51
92133 Imaging of optic nerve	68	68	$112.00	$36.62
92083 Exam of visual field with extended testing	60	57	$164.00	$64.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	40	$267.00	$104.16
83861 Microfluid analysis of tears	25	13	$45.00	$22.21
92134 Imaging of retina	15	15	$114.00	$40.73
66821 Removal of recurring cataract in lens capsule using a laser	13	13	$843.23	$320.14

Medical Specialties & State Licenses

CMS Verified: 2020-03-18

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MN 40348

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

245640100 (MN)

Hospital & Practice Group Affiliations

Northwest Eye Clinic Llc

12000 Elm Creek Blvd N, Maple Grove, MN 553697074

Phone: 7634167600

Secondary Practice Locations

250 Central Ave N Ste 107

Wayzata, MN 553911207

Phone: 7634167600

8501 Golden Valley Rd Ste 100

Golden Valley, MN 554274472

Phone: 7634167600

Practice Associates & Co-Workers

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

29 Associated Practitioners

Dr. William Engel , MD

Ophthalmology

NPI 1023093390

Doctor of Medicine (M.D.)

Dr. Gerald Loushin , MD

Ophthalmology

NPI 1063490928

Doctor of Medicine (M.D.)

Dr. John Berestka , MD

Ophthalmology

NPI 1114905072

Doctor of Medicine (M.D.)

Dr. Tanya Glaser , MD

Ophthalmology

NPI 1164840211

Doctor of Medicine (M.D.)

Dr. Alejandra Decanini Mancera , MD

Ophthalmology

NPI 1174799357

Doctor of Medicine (M.D.)

Dr. Timothy Ehlen , MD

Ophthalmology

NPI 1184602047

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 18, 2020

Registered at 12000 ELM CREEK BLVD N STE 100, MAPLE GROVE, MN 553697074 (Tel: 7634167600)

📍

Updated Business Mailing Address March 18, 2020

Registered at 8401 GOLDEN VALLEY RD STE 330, GOLDEN VALLEY, MN 554274488 (Tel: 7634167629)

✅

NPI Profile Active February 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2015

Registered at 2805 CAMPUS DR, SUITE 105, PLYMOUTH, MN 554412676 (Tel: 7634167600)

📍

Updated Business Mailing Address February 23, 2015

Registered at 8401 GOLDEN VALLEY RD, SUITE 330, GOLDEN VALLEY, MN 554274486 (Tel: 7633834130)

👤

Provider Name / Credentials Updated February 23, 2015

Recorded as JANICE SINCLAIR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2015

Ophthalmology (License #40348 in MN)

🟢

Initial NPI Registration & Enumeration January 03, 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: 1104804962

Entity Type:

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

Enumeration Date: January 03, 2006

Last Update: March 18, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8401 Golden Valley Rd Ste 330

Golden Valley, MN 554274488

Phone: 7634167629

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.