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Deactivated NPI 1821081738 Deactivated / Inactive NPI Male Practitioner

Dr. Paul A. Henriksen , OD

Optometrist • Pipestone, MN

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Henriksen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 25, 2005
NPI Deactivation Date March 27, 2006
Total Practice Duration ~24 Years of Practice (1982 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Henriksen, OD was a registered Optometrist in Pipestone, MN. Prior to record deactivation on 2006-03-27, Dr. Henriksen completed approximately 24 years of clinical practice following graduation from Illinois College Of Optometry At Chicago in 1982.

Dr. Henriksen accepted Medicare assignment.

Historical Medicare Part B clinical services included removal of cataract with insertion of lens, established patient complete exam of visual system, established patient problem focused exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

212 W. Main St.

Pipestone, MN 561641634

Telephone 5078255444
Associated Practice Facility / Clinic
🏢 Paul A. Henriksen Facility NPI 1225214158

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Pipestone, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
44 Yrs +3.5 yrs vs City Avg
City Avg: 40.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Pipestone, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
16.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Henriksen (44 Years) 44 Yrs
Pipestone Specialty Average (40.5 Years) 40.5 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
3,414 22 $1.95 $1.16
92014 Established patient complete exam of visual system
318 286 $117.16 $115.71
92012 Established patient problem focused exam of visual system
132 99 $70.55 $69.60
92083 Exam of visual field with extended testing
43 42 $84.00 $62.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
39 19 $50.46 $49.78
92133 Imaging of optic nerve
27 27 $64.00 $32.93
92004 New patient complete exam of visual system
25 25 $149.20 $146.79
92250 Photography of the retina
18 18 $79.00 $33.93

Medical Specialties & State Licenses

CMS Verified: 2020-01-22
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 1922

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
896523400 (MN)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address January 22, 2020

Registered at PO BOX 686, PIPESTONE, MN 561640686 (Tel: 5078255444)

📍
Updated Practice Location December 12, 2007

Registered at 212 W. MAIN ST., PIPESTONE, MN 561641634 (Tel: 5078255444)

📍
Updated Business Mailing Address December 12, 2007

Registered at 212 W. MAIN ST., PIPESTONE, MN 561641634 (Tel: 5078255444)

👤
Provider Name / Credentials Updated December 12, 2007

Recorded as PAUL HENRIKSEN, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2007

Optometrist (License #1922 in MN)

🔄
NPI Profile Reactivated March 31, 2006

Record officially reactivated for active practice on March 31, 2006

⚠️
NPI Profile Deactivated March 27, 2006

Record deactivated on March 27, 2006

🟢
Initial NPI Registration & Enumeration August 25, 2005

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: 1821081738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2005
Last Update: January 22, 2020
Deactivation Date: March 27, 2006
Sole Proprietor: Yes

Mailing Address

Po Box 686

Pipestone, MN 561640686

Phone: 5078255444

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.