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Active NPI 1912979006 Individual Practitioner Male Practitioner

Dr. Mark A Kapphahn , OD

Optometrist • Saint Paul, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Kapphahn, OD is a certified Optometrist practicing in Saint Paul, MN. With approximately 24 years of clinical experience since graduating from Pacific University - College Of Optometry in 2002, Dr. Kapphahn delivers high-quality medical care to the local community at 401 PHALEN BLVD.

Dr. Kapphahn is affiliated with Group Health Plan Inc 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

401 Phalen Blvd

Saint Paul, MN 551305302

Telephone 6512547500
Associated Practice Facility / Clinic
🏢 Regions Hospital Facility NPI 1134157092

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Saint Paul, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +6.8 yrs vs City Avg
City Avg: 17.2 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
38 Specialists

Practicing in Saint Paul, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kapphahn (24 Years) 24 Yrs
Saint Paul Specialty Average (17.2 Years) 17.2 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
159 159 $473.00 $123.94
92004 New patient complete exam of visual system
55 55 $559.00 $146.58
99213 Established patient office or other outpatient visit, typically 15 minutes
33 28 $338.00 $85.49
92083 Exam of visual field with extended testing
27 23 $292.00 $62.91
92133 Imaging of optic nerve
18 16 $171.00 $32.92
92134 Imaging of retina
15 15 $188.00 $35.65

Medical Specialties & State Licenses

CMS Verified: 2022-10-17
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 2866

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
144842100 (MN)

Hospital & Practice Group Affiliations

Group Health Plan Inc

435 Phalen Blvd, Saint Paul, MN 551305302

Phone: 6512912848

Group Health Plan Inc

401 Phalen Blvd, Saint Paul, MN 551305302

Phone: 6512547400

Group Health Plan Inc

8600 Nicollet Ave, Bloomington, MN 554202824

Phone: 9528841148

Group Health Plan Inc

2500 Como Ave, Saint Paul, MN 551081460

Phone: 6516410020

Practice Associates & Co-Workers

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

18 Associated Practitioners
NPI 1023084084

Doctor of Medicine (M.D.)

NPI 1104391325

Doctor of Optometry

NPI 1235767286

Doctor of Medicine (M.D.)

NPI 1275948275

Doctor of Medicine (M.D.)

Dr. Katherine Montealegre , OD

Optometrist - Corneal and Contact Management

NPI 1295097277

Doctor of Optometry

NPI 1316177348

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 17, 2022

Registered at 401 PHALEN BLVD, SAINT PAUL, MN 551305302 (Tel: 6512547500)

📍
Updated Business Mailing Address October 17, 2022

Registered at 8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 554254516

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2500 COMO AVE, MAIL STOP 31100A, SAINT PAUL, MN 551081460 (Tel: 6516416200)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8100 34TH AVE S, BLOOMINGTON, MN 554251672 (Tel: 9528835463)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK KAPPHAHN, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #2866 in MN)

🟢
Initial NPI Registration & Enumeration February 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: 1912979006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2006
Last Update: October 17, 2022
Sole Proprietor: No

Mailing Address

8170 33rd Ave S # Ms 21110q

Minneapolis, MN 554254516

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.