Active NPI 1952385445 Individual Practitioner Female Practitioner

Dr. Melissa K Downs , OD

Optometrist • Rochester, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Melissa Downs, OD is a certified Optometrist practicing in Rochester, MN. With approximately 30 years of clinical experience since graduating from Ohio State University - College Of Optometry in 1996, Dr. Downs delivers high-quality medical care to the local community at 3630 11TH AVE NW.

Dr. Downs is affiliated with Rochester Family Eye Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new 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

3630 11th Ave Nw

Rochester, MN 559014276

Telephone 5072882457

Fax 5072881299

Associated Practice Facility / Clinic

🏢 Rochester Family Eye Clinic Llc Facility NPI 1831173335

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Rochester, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +11.6 yrs vs City Avg

City Avg: 18.4 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

42 Specialists

Practicing in Rochester, MN (1178 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

21.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Downs (30 Years) 30 Yrs

Rochester Specialty Average (18.4 Years) 18.4 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	180	180	$115.85	$114.53
92004 New patient complete exam of visual system	30	30	$133.41	$131.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$55.50	$54.74
92133 Imaging of optic nerve	23	23	$98.76	$34.30
92083 Exam of visual field with extended testing	18	18	$101.19	$62.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	180	180	$114.04	$107.27
92004 New patient complete exam of visual system	26	26	$131.21	$123.28
92133 Imaging of optic nerve	21	21	$97.17	$33.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$54.53	$51.27
92083 Exam of visual field with extended testing	14	14	$99.47	$59.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	234	234	$110.20	$103.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	36	$52.86	$49.50
92133 Imaging of optic nerve	31	31	$94.11	$33.45
92004 New patient complete exam of visual system	30	30	$126.25	$119.77
92083 Exam of visual field with extended testing	22	21	$96.37	$60.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	181	181	$105.08	$105.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	34	$50.34	$50.34
92133 Imaging of optic nerve	32	32	$89.76	$36.36
92004 New patient complete exam of visual system	29	29	$121.01	$121.01
92083 Exam of visual field with extended testing	18	18	$91.78	$64.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	195	194	$105.08	$104.96
92004 New patient complete exam of visual system	33	33	$121.01	$120.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	24	$50.34	$45.29
92133 Imaging of optic nerve	30	30	$89.76	$36.11
92083 Exam of visual field with extended testing	23	22	$91.78	$64.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	190	189	$105.08	$103.83
92004 New patient complete exam of visual system	42	42	$121.01	$119.73
92133 Imaging of optic nerve	40	39	$89.76	$36.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	32	$50.34	$44.56
92083 Exam of visual field with extended testing	25	24	$91.78	$64.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	75	75	$105.08	$103.23
92004 New patient complete exam of visual system	27	27	$121.01	$119.07
92083 Exam of visual field with extended testing	12	12	$91.78	$61.24
92133 Imaging of optic nerve	12	12	$89.76	$34.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$50.34	$41.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	60	60	$104.91	$102.65
92004 New patient complete exam of visual system	19	19	$121.01	$117.96
92133 Imaging of optic nerve	12	12	$89.76	$34.55

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 2578

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

809840900 (MN)

Commercial Insurance / Payer ID Bcbs Of Mn

6C326D0 (MN)

Commercial Insurance / Payer ID Preferred One

01017734

Commercial Insurance / Payer ID Health Partners

HP44094

Commercial Insurance / Payer ID Medica Choice Select

2201133

Hospital & Practice Group Affiliations

Rochester Family Eye Clinic Llc

3630 11th Ave Nw, Rochester, MN 559014276

Phone: 5072882457

Rochester Family Eye Clinic Llc

3630 11th Ave Nw, Rochester, MN 559014276

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Eva So , OD

Optometrist

NPI 1043739089

Doctor of Optometry

Dr. Loren Baldus , OD

Optometrist

NPI 1114339629

Doctor of Optometry

Dr. Bryan Johnson , OD

Optometrist

NPI 1184608200

Doctor of Optometry

Dr. Fred Butler , OD

Optometrist

NPI 1356325476

Doctor of Optometry

Dr. Mark Kidman , OD

Optometrist

NPI 1447234554

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 May 28, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location May 28, 2009

Registered at 3630 11TH AVE NW, ROCHESTER, MN 559014276 (Tel: 5072882457)

📍

Updated Business Mailing Address May 28, 2009

Registered at 3630 11TH AVE NW, ROCHESTER, MN 559014276 (Tel: 5072882457)

👤

Provider Name / Credentials Updated May 28, 2009

Recorded as MELISSA DOWNS, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2009

Optometrist (License #2578 in MN)

🟢

Initial NPI Registration & Enumeration November 30, 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: 1952385445

Entity Type:

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

Enumeration Date: November 30, 2005

Last Update: May 28, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3630 11th Ave Nw

Rochester, MN 559014276

Phone: 5072882457

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.