DR. SARA RAE BETTERLY WALLEN
NPI 1316102643
Optometrist in Prior Lake, MN

Q: What is Sara Betterly Wallen's NPI number?

The NPI number for Sara Betterly Wallen is 1316102643. It was assigned to this individual provider in the NPPES registry on July 25, 2008. The provider is also known as Dr. Sara Rae Betterly.

Q: What is Sara Betterly Wallen's specialty?

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

Active since July 25, 2008PECOS Enrolled

2330 SIOUX TRL NW, PRIOR LAKE, MN 55372(952) 233-2955 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Sara Rae Betterly Wallen NPPES

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

DR. SARA RAE BETTERLY WALLEN (NPI 1316102643) is an individual optometrist in Prior Lake, Minnesota, licensed in Minnesota (3116) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316102643

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. SARA RAE BETTERLY WALLEN

Location Address2330 SIOUX TRL NWPrior Lake, MN 55372-9077

Mailing Address712 Hague Ave Apt 2Saint Paul, MN 55104-6951 · (651) 210-6202

Phone(952) 233-2955

Sole ProprietorNo

Enumeration DateJuly 25, 2008

✔ NPI 1316102643 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 · 3116

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.

2330 SIOUX TRL NW, Prior Lake, MN 55372

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Other Names 1

Former Name (1)Dr. Sara Rae Betterly

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sara Rae Betterly Wallen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Sara Betterly Wallen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shakopee Mdewakanton Sioux Community

Same address

Family Medicine

2330 SIOUX TRL NW
Prior Lake, MN 55372

Reassigned Medicare billing, Minnesota enrollment
14 clinicians in this Medicare group

NPI 1013933381 (952) 496-6150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55372 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 15

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

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