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DAVID B PELOWSKI O.D.
NPI 1205801032
Optometrist in Baxter, MN

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
14453 EDGEWOOD DR, BAXTER, MN 56425(218) 829-1789(218) 829-1780 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 19, 2017 (2 updates tracked since 2017).

About David B Pelowski O.d. NPPES

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

DAVID B PELOWSKI O.D. (NPI 1205801032) is an individual optometrist in Baxter, Minnesota, licensed in Minnesota (2699) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1998).

NPPES Registry Identity

NPI1205801032
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDAVID B PELOWSKICredential: O.D.
Location Address14453 EDGEWOOD DRBaxter, MN 56425-8459
Mailing Address424 Barclay Ave., P O Box 457Pine River, MN 56474-0457 · (218) 587-2020 · Fax (218) 587-3229
Phone(218) 829-1789
Fax(218) 829-1780
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1998
Enumeration DateFebruary 23, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1205801032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 2699
Definition
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.
14453 EDGEWOOD DR, Baxter, MN 56425
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Other Identifiers 1

Medicaid197023200MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

David B Pelowski O.d. 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 ID6901894401
PECOS Enrollment IDI20040504000473
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 5

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 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.
75 services75 patients
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.
44 services26 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.
19 services19 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
13 services13 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56425 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.

Other Providers at the Same Location NPPES 3

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

DANIEL B CLAYTON O.D.
Optometrist
14453 EDGEWOOD DR
BAXTER, MN 56425
Crow Wing County (218) 829-1789
PINE RIVER EYE CENTER, INC.
Eyewear Supplier
14453 EDGEWOOD DR
BAXTER, MN 56425
Crow Wing County (218) 829-1789
ASSOCIATES IN EYECARE
Optometrist
14453 EDGEWOOD DR
BAXTER, MN 56425
Crow Wing County (218) 829-1789

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 David Pelowski's NPI number?

The NPI number for David Pelowski is 1205801032. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is David Pelowski located?

David Pelowski practices at 14453 Edgewood Dr, Baxter, MN 56425. The listed phone number is (218) 829-1789.

What is David Pelowski's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is David Pelowski enrolled in Medicare?

Yes. David Pelowski 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 David Pelowski accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Medica and Providence Health Plan list David Pelowski 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 David Pelowski was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.