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MATTHEW T WIEDELL O.D.
NPI 1376432435
Optometrist in Crosby, MN

Active since July 01, 2025PECOS EnrolledAccepts Medicare Assignment
1 3RD AVE NE, CROSBY, MN 56441(218) 546-5108(218) 546-5736 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew T Wiedell O.d. NPPES

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

MATTHEW T WIEDELL O.D. (NPI 1376432435) is an individual optometrist in Crosby, Minnesota, licensed in Minnesota (4018) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Baxter, and is a graduate of University Of Missouri St Louis - School Of Optometry (2025).

NPPES Registry Identity

NPI1376432435
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMATTHEW T WIEDELLCredential: O.D.
Location Address1 3RD AVE NECrosby, MN 56441-1665
Mailing Address1 3rd Ave NeCrosby, MN 56441-1665 · (218) 546-5108 · Fax (218) 546-5736
Phone(218) 546-5108
Fax(218) 546-5736
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2025
Enumeration DateJuly 1, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1376432435 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 · 4018
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.
1 3RD AVE NE, Crosby, MN 56441
Open in Google Maps ↗

Secondary Practice Location 1

Location 17636 Design Rd Ste 105Baxter, MN 56425-8678 · Phone (218) 825-1976 · Fax (218) 546-5736

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

Matthew T Wiedell 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 ID3375058753
PECOS Enrollment IDI20250715001350
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56441 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 8

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

S SJOBERG PLC
Clinic/Center (Health Service)
1 3RD AVE NE
CROSBY, MN 56441
Crow Wing County (218) 546-5108
ADAM AHLQUIST M.D.
Ophthalmology
1 3RD AVE NE
CROSBY, MN 56441
Crow Wing County (218) 546-5108
DR. STACY A SJOBERG M.D., PHD
Ophthalmology
1 3RD AVE NE
CROSBY, MN 56441
Crow Wing County (218) 546-5108
RICHARD L WEST O.D.
Optometrist
1 3RD AVE NE
CROSBY, MN 56441
Crow Wing County (218) 546-5108
JOSEPH MERCK
Ophthalmology
1 3RD AVE NE
CROSBY, MN 56441
Crow Wing County (218) 546-5108
CASSIE MAIRS KNIPPLE OD
Optometrist
1 3RD AVE NE
CROSBY, MN 56441
Crow Wing County (800) 952-3766
JEROME D. POLAND MD LTD
Eyewear Supplier
1 3RD AVE NE
CROSBY, MN 56441
Crow Wing County (218) 546-5108
MARY M ZEISE O.D.
Optometrist
1 3RD AVE NE
CROSBY, MN 56441
Crow Wing County (218) 546-5108

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 Matthew Wiedell's NPI number?

The NPI number for Matthew Wiedell is 1376432435. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Matthew Wiedell located?

Matthew Wiedell practices at 1 3rd Ave NE, Crosby, MN 56441. The listed phone number is (218) 546-5108.

What is Matthew Wiedell's specialty?

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

Is Matthew Wiedell enrolled in Medicare?

Yes. Matthew Wiedell 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.

When was this NPI record last updated?

The NPPES record for Matthew Wiedell was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.