Active NPI 1407844822 Individual Practitioner Male Practitioner

Burt Dubow

Optometrist • Waite Park, MN

Professional Overview & Biography Verified Profile Summary

Burt Dubow is a registered healthcare professional specializing in Optometrist in Waite Park, MN. Practice services are available at 206 DIVISION ST under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

206 Division St

Waite Park, MN 563871331

Telephone 3202530365

Fax 3202539401

Associated Practice Facility / Clinic

🏢 Eagan Eye Clinic Llc Facility NPI 1760089700

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Waite Park, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.3 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

8 Specialists

Practicing in Waite Park, MN (1178 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

22.8% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	24	24	$165.00	$127.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	172	172	$165.00	$127.78
99213 Established patient office or other outpatient visit, typically 15 minutes	42	34	$150.35	$73.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	17	$189.66	$108.22
92134 Imaging of retina	17	16	$105.06	$41.50
92083 Exam of visual field with extended testing	16	16	$144.84	$65.11
92133 Imaging of optic nerve	14	14	$105.06	$34.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	87	86	$165.00	$122.49
99213 Established patient office or other outpatient visit, typically 15 minutes	34	23	$150.35	$70.01
92134 Imaging of retina	20	13	$105.06	$40.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,622	11	$2.47	$1.46
92014 Established patient complete exam of visual system	85	85	$165.00	$116.03
99213 Established patient office or other outpatient visit, typically 15 minutes	35	27	$150.35	$66.22
92134 Imaging of retina	14	14	$105.06	$38.40

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 1604

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

Commercial Insurance / Payer ID Mayo Mtg

14144 (MN)

Commercial Insurance / Payer ID Preferred One

73001 (MN)

Commercial Insurance / Payer ID Medica

2220109 (MN)

Commercial Insurance / Payer ID Select Care

T65469 (MN)

Commercial Insurance / Payer ID Blue Cross Blue Shield

54290DU (MN)

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Bennett Nelson , OD

Optometrist

NPI 1063571305

Doctor of Optometry

Dr. Anna Malikowski , OD

Optometrist

NPI 1073575098

Doctor of Optometry

Gregory Friederichs

Optometrist

NPI 1518955939

Dr. Lanette Green , OD

Optometrist

NPI 1578607958

Doctor of Optometry

Dr. Alexander Paradis , OD

Optometrist

NPI 1780245696

Doctor of Optometry

Dr. Savannah Johnson , OD

Optometrist

NPI 1962737049

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 December 04, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 04, 2007

Registered at 206 DIVISION ST, WAITE PARK, MN 563871331 (Tel: 3202530365)

📍

Updated Business Mailing Address December 04, 2007

Registered at PO BOX 7654, SAINT CLOUD, MN 563027654 (Tel: 3202530365)

👤

Provider Name / Credentials Updated December 04, 2007

Recorded as BURT DUBOW

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2007

Optometrist (License #1604 in MN)

🟢

Initial NPI Registration & Enumeration October 10, 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: 1407844822

Entity Type:

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

Enumeration Date: October 10, 2005

Last Update: December 04, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 7654

Saint Cloud, MN 563027654

Phone: 3202530365

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.