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DR. BENJAMIN STOUT OD
NPI 1265437792
Optometrist in Eagan, MN

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
3930 CEDAR GROVE PKWY, EAGAN, MN 55122(651) 454-5661(651) 454-5669 Get Directions Write a Review

NPPES record last updated: May 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Benjamin Stout Od NPPES

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

DR. BENJAMIN STOUT OD (NPI 1265437792) is an individual optometrist in Eagan, Minnesota, licensed in Minnesota (2764) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1999).

NPPES Registry Identity

NPI1265437792
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BENJAMIN STOUTCredential: OD
Location Address3930 CEDAR GROVE PKWYEagan, MN 55122-1403
Mailing Address3930 Cedar Grove PkwyEagan, MN 55122-1403 · (651) 454-5661 · Fax (651) 454-5669
Phone(651) 454-5661
Fax(651) 454-5669
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1999
Enumeration DateJune 21, 2005
Last NPPES UpdateMay 19, 2011
✔ NPI 1265437792 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 · 2764
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.
3930 CEDAR GROVE PKWY, Eagan, MN 55122
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Other Identifiers 3

Medicaid004695700MN
Medicare NSC0227590001MN
Medicare PIN410002145MN

Accepted Insurance

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

Dr. Benjamin Stout Od 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 ID9638159031
PECOS Enrollment IDI20040726000348
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 7

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.
123 services123 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
55 services55 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.
41 services29 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
37 services32 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.
17 services16 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.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55122 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 4

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

DR. ERIN CARLSON OD
Optometrist
3930 CEDAR GROVE PKWY
EAGAN, MN 55122
Dakota County (651) 454-5661
EAGAN EYE CLINIC LLC
Optometrist
3930 CEDAR GROVE PKWY
EAGAN, MN 55122
Dakota County (651) 454-5661
DR. DENNIS OTTENSTROER OD
Optometrist
3930 CEDAR GROVE PKWY
EAGAN, MN 55122
Dakota County (651) 454-5661
SAVAGE EYE CLINIC
Optometrist
3930 CEDAR GROVE PKWY
EAGAN, MN 55122
Dakota County (651) 454-5661

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 Benjamin Stout's NPI number?

The NPI number for Benjamin Stout is 1265437792. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Benjamin Stout located?

Benjamin Stout practices at 3930 Cedar Grove Pkwy, Eagan, MN 55122. The listed phone number is (651) 454-5661.

What is Benjamin Stout's specialty?

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

Is Benjamin Stout enrolled in Medicare?

Yes. Benjamin Stout 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 Benjamin Stout accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Benjamin Stout 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 Benjamin Stout was last updated on May 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.