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DR. JANICE M SINCLAIR MD
NPI 1104804962
Ophthalmology in Maple Grove, MN

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
79.8/100
CMS Quality Rating
12000 ELM CREEK BLVD N STE 100, MAPLE GROVE, MN 55369(763) 416-7600(763) 416-7634 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Janice M Sinclair Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JANICE M SINCLAIR MD (NPI 1104804962) is an individual ophthalmology provider in Maple Grove, Minnesota, licensed in Minnesota (40348) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Minnesota Medical School (1996).

NPPES Registry Identity

NPI1104804962
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. JANICE M SINCLAIRCredential: MD
Location Address12000 ELM CREEK BLVD N STE 100Maple Grove, MN 55369-7074
Mailing Address8401 Golden Valley Rd Ste 330Golden Valley, MN 55427-4488 · (763) 416-7629 · Fax (763) 383-4147
Phone(763) 416-7600
Fax(763) 416-7634
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1996
Enumeration DateJanuary 3, 2006
Last NPPES UpdateMarch 18, 2020
NPPES CertifiedMarch 18, 2020
✔ NPI 1104804962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MN · 40348
Definition
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.
12000 ELM CREEK BLVD N STE 100, Maple Grove, MN 55369
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Secondary Practice Locations 2

Location 1250 Central Ave N Ste 107Wayzata, MN 55391-1207 · Phone (763) 416-7600 · Fax (763) 416-7634
Location 28501 Golden Valley Rd Ste 100Golden Valley, MN 55427-4472 · Phone (763) 416-7600 · Fax (763) 416-7634

Other Identifiers 1

Medicaid245640100MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Janice M Sinclair Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749173649
PECOS Enrollment IDI20100803001311
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
314 services275 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
206 services185 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
131 services131 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
125 services118 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
124 services119 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.37
Promoting Interoperability87
Improvement Activities40
Cost48.14

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DISTINCTIVE EYEWEAR, LLC
Eyewear Supplier
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369
Hennepin County (763) 416-7653
DR. GERALD P LOUSHIN MD
Ophthalmology
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369
Hennepin County (763) 416-7600
NORTHWEST EYE CLINIC, LLC
Ophthalmology
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369
Hennepin County (763) 416-7600
ALEJANDRA DECANINI MANCERA M.D.
Ophthalmology
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369
Hennepin County (763) 416-7600
DR. MRUNALINI D PARVATANENI MD
Ophthalmology
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369
Hennepin County (763) 416-7600
DR. NICOLE N SHEFFER OD
Optometrist (Pediatrics)
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369
Hennepin County (763) 416-7600
DR. MATTHEW R RAMSEY M.D.
Ophthalmology
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369
Hennepin County (763) 416-7600
DR. BRIAN J HAMANN OD
Optometrist
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369
Hennepin County (763) 416-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Janice Sinclair's NPI number?

The NPI number for Janice Sinclair is 1104804962. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Janice Sinclair located?

Janice Sinclair practices at 12000 Elm Creek Blvd N Ste 100, Maple Grove, MN 55369. The listed phone number is (763) 416-7600.

What is Janice Sinclair's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Janice Sinclair enrolled in Medicare?

Yes. Janice Sinclair is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Janice Sinclair accept?

Health plans from HealthPartners and Medica list Janice Sinclair as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Janice Sinclair was last updated on March 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.