Active NPI 1386610731 Individual Practitioner Male Practitioner

Dr. Anthony J Pfaff , MD

Ophthalmology • St Paul, MN

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Pfaff, MD is a registered healthcare professional specializing in Ophthalmology in St Paul, MN. Practice services are available at 401 PHALEN BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, exam of visual field with extended testing, 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

401 Phalen Blvd
Mail Stop 41102e

St Paul, MN 551015302

Telephone 6512547500

Fax 6512547557

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in St Paul, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 24.4 Yrs

Regional Practice Density

6 Specialists

Practicing in St Paul, MN (457 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	42	42	$435.00	$127.44
92083 Exam of visual field with extended testing	14	13	$270.00	$63.34
92133 Imaging of optic nerve	12	12	$158.00	$35.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	94	90	$405.00	$127.43
92133 Imaging of optic nerve	34	33	$149.00	$35.89
92012 Established patient problem focused exam of visual system	30	28	$287.00	$90.64
92083 Exam of visual field with extended testing	29	28	$253.00	$63.78
92134 Imaging of retina	15	14	$164.00	$39.54
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$292.00	$90.18
92004 New patient complete exam of visual system	15	15	$481.00	$151.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	111	105	$401.00	$127.78
92136 Measurement of corneal curvature and depth of eye	46	33	$183.30	$42.66
66984 Removal of cataract with insertion of lens	43	25	$2178.00	$539.84
92083 Exam of visual field with extended testing	37	36	$251.00	$64.71
92133 Imaging of optic nerve	36	35	$148.00	$36.37
92012 Established patient problem focused exam of visual system	33	27	$281.00	$91.38
92004 New patient complete exam of visual system	21	21	$478.00	$153.24
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$238.00	$91.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$346.00	$129.41
92134 Imaging of retina	18	16	$162.00	$40.21
66821 Removal of recurring cataract in lens capsule using a laser	18	18	$1766.67	$378.89
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	16	$73.00	$23.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	244	233	$382.00	$127.06
92136 Measurement of corneal curvature and depth of eye	125	85	$198.79	$49.14
92012 Established patient problem focused exam of visual system	118	99	$264.22	$88.76
66984 Removal of cataract with insertion of lens	118	76	$2379.00	$535.80
92004 New patient complete exam of visual system	81	81	$456.00	$152.14
92133 Imaging of optic nerve	77	75	$138.00	$35.86
92083 Exam of visual field with extended testing	59	53	$237.00	$62.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	37	$327.00	$107.89
92134 Imaging of retina	34	32	$152.00	$41.24
66821 Removal of recurring cataract in lens capsule using a laser	26	26	$1471.31	$368.12
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$224.00	$74.19
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	22	$68.00	$23.75
92002 New patient problem focused exam of visual system	11	11	$254.00	$78.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	244	235	$364.00	$126.84
92136 Measurement of corneal curvature and depth of eye	131	88	$192.59	$50.96
66984 Removal of cataract with insertion of lens	125	75	$2270.00	$638.31
92012 Established patient problem focused exam of visual system	119	91	$253.00	$89.32
92004 New patient complete exam of visual system	95	95	$435.00	$150.32
92083 Exam of visual field with extended testing	66	60	$227.00	$64.99
92133 Imaging of optic nerve	62	60	$133.00	$36.28
66821 Removal of recurring cataract in lens capsule using a laser	23	23	$1627.83	$368.18
92134 Imaging of retina	20	19	$147.00	$40.34
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$210.00	$74.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$313.86	$108.42
92002 New patient problem focused exam of visual system	13	13	$240.00	$85.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	65	62	$331.00	$123.17
92136 Measurement of corneal curvature and depth of eye	31	22	$187.39	$55.08
66984 Removal of cataract with insertion of lens	27	18	$2199.00	$612.21
92004 New patient complete exam of visual system	26	26	$398.00	$150.75
92133 Imaging of optic nerve	21	21	$113.00	$36.73
92134 Imaging of retina	13	13	$124.00	$40.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	103	100	$320.00	$120.45
92012 Established patient problem focused exam of visual system	42	32	$221.00	$85.30
66984 Removal of cataract with insertion of lens	29	18	$2127.00	$631.54
92133 Imaging of optic nerve	27	26	$120.00	$36.09
92136 Measurement of corneal curvature and depth of eye	23	18	$170.57	$62.32
92004 New patient complete exam of visual system	20	20	$385.00	$149.17
92083 Exam of visual field with extended testing	19	19	$178.00	$64.64
92134 Imaging of retina	14	13	$124.00	$39.80

Medical Specialties & State Licenses

CMS Verified: 2022-01-20

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MN 47750

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.

Practice Associates & Co-Workers

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

18 Associated Practitioners

Dr. Jerry Kobrin , MD

Ophthalmology

NPI 1023084084

Doctor of Medicine (M.D.)

Dr. Matthew Hendricks , OD

Optometrist

NPI 1104391325

Doctor of Optometry

Dr. Spencer Cleland , MD

Ophthalmology

NPI 1235767286

Doctor of Medicine (M.D.)

Dr. Matthew Cossack , MD

Ophthalmology

NPI 1275948275

Doctor of Medicine (M.D.)

Dr. Katherine Montealegre , OD

Optometrist - Corneal and Contact Management

NPI 1295097277

Doctor of Optometry

Dr. Matthew Bauer , OD

Optometrist

NPI 1316177348

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address January 20, 2022

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

✅

NPI Profile Active January 17, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 17, 2013

Registered at 401 PHALEN BLVD, MAIL STOP 41102E, ST PAUL, MN 551015302 (Tel: 6512547500)

📍

Updated Business Mailing Address January 17, 2013

Registered at 401 PHALEN BLVD, 41102E, SAINT PAUL, MN 551305302 (Tel: 6512547500)

👤

Provider Name / Credentials Updated January 17, 2013

Recorded as ANTHONY PFAFF, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2013

Ophthalmology (License #47750 in MN)

🟢

Initial NPI Registration & Enumeration February 27, 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: 1386610731

Entity Type:

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

Enumeration Date: February 27, 2006

Last Update: January 20, 2022

Sole Proprietor: No

Update or Correct Profile

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.