NATHANIEL R GELINAS D.O.
NPI 1265968614
Ophthalmology in Bloomington, MN

Active since May 04, 2017PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
7920 OLD CEDAR AVE S, BLOOMINGTON, MN 55425(952) 428-1800(952) 428-1723 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2025, Jul 27, 2021, Sep 23, 2019 and 3 more (6 updates tracked since 2018).

About Nathaniel R Gelinas D.o. NPPES

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

NATHANIEL R GELINAS D.O. (NPI 1265968614) is an individual ophthalmology provider in Bloomington, Minnesota, licensed in Minnesota (78104) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1265968614
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameNATHANIEL R GELINASCredential: D.O.
Location Address7920 OLD CEDAR AVE SBloomington, MN 55425-1207
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Fax(952) 428-1723
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2017
Enumeration DateMay 4, 2017
Last NPPES UpdateMarch 21, 20256 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
NPI 1265968614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MN · 78104 Licensed in ME · DO3184 Licensed in CO · TL.0007523
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.
7920 OLD CEDAR AVE S, Bloomington, MN 55425

Secondary Practice Locations 4

Location 11675 Aurora Ct Ste F731Aurora, CO 80045-2592 · Phone (720) 848-5029
Location 244 Washington BlvdOak Park, IL 60302-4394 · Phone (715) 892-1906
Location 315 Lowell StPortland, ME 04102-2792 · Phone (207) 774-8277 · Fax (207) 523-5310
Location 427351 Dequindre RdMadison Heights, MI 48071-3487 · Phone (248) 967-7000 · Fax (248) 967-7000

Accepted 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

Nathaniel R Gelinas D.o. 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 ID7810221439
PECOS Enrollment IDI20250312003223
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55425 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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Audiologist-Hearing Aid Fitter
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Family Medicine
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Internal Medicine
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Family Medicine
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Pediatrics
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Internal Medicine
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Internal Medicine
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Physician Assistant
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425

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 Nathaniel Gelinas's NPI number?

The NPI number for Nathaniel Gelinas is 1265968614. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Nathaniel Gelinas located?

Nathaniel Gelinas practices at 7920 Old Cedar Ave S, Bloomington, MN 55425. The listed phone number is (952) 428-1800.

What is Nathaniel Gelinas's specialty?

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

Is Nathaniel Gelinas enrolled in Medicare?

Yes. Nathaniel Gelinas 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 Nathaniel Gelinas accept?

Health plans from HealthPartners and Medica list Nathaniel Gelinas 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.

Is Nathaniel Gelinas affiliated with any hospitals?

According to CMS data, Nathaniel Gelinas is affiliated with Allina United Hospital.

When was this NPI record last updated?

The NPPES record for Nathaniel Gelinas was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.