ANTHONY J PFAFF MD
NPI 1386610731
Ophthalmology in St Paul, MN

Q: What is Anthony Pfaff's NPI number?

The NPI number for Anthony Pfaff is 1386610731. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Q: What is Anthony Pfaff's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anthony Pfaff was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 27, 2006PECOS Enrolled

401 PHALEN BLVD, MAIL STOP 41102E, ST PAUL, MN 55101(651) 254-7500(651) 254-7557 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Anthony J Pfaff Md NPPES

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

ANTHONY J PFAFF MD (NPI 1386610731) is an individual ophthalmology provider in St Paul, Minnesota, licensed in Minnesota (47750) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386610731

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameANTHONY J PFAFFCredential: MD

Location Address401 PHALEN BLVD, MAIL STOP 41102ESt Paul, MN 55101-5302

Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516

Phone(651) 254-7500

Fax(651) 254-7557

Sole ProprietorNo

Enumeration DateFebruary 27, 2006

Last NPPES UpdateJanuary 20, 2022

NPPES CertifiedJanuary 20, 2022

✔ NPI 1386610731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MN · 47750

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.

401 PHALEN BLVD, St Paul, MN 55101

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony J Pfaff Md 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 Anthony Pfaff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Group Health, Inc.

1.9 mi

Pediatric Dentistry

205 WABASHA ST S
Saint Paul, MN 55107

Reassigned Medicare billing, Minnesota enrollment
2,274 clinicians in this Medicare group

NPI 1801941943 (651) 227-3757

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 55101 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 19

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

SETH I WOLPERT MD

Surgery

401 PHALEN BLVD, MAIL STOP 41104A
ST PAUL, MN 55101

Ramsey County (851) 254-7980

GARY J ROSENTHAL MD

Surgery (Vascular Surgery)

401 PHALEN BLVD, MAIL STOP 41104A
SAINT PAUL, MN 55101

Ramsey County (651) 254-7980

CHARLENE E MCEVOY MD

Internal Medicine (Pulmonary Disease)

401 PHALEN BLVD, MAIL STOP 41102D
SAINT PAUL, MN 55101

Ramsey County (651) 254-7670

JOHN J MARINI MD

Internal Medicine (Critical Care Medicine)

401 PHALEN BLVD, MAIL STOP 41102D
ST PAUL, MN 55101

Ramsey County (651) 254-7670

RICHARD C TIMMING MD

Physical Medicine & Rehabilitation

401 PHALEN BLVD, MAIL STOP 41102E
ST PAUL, MN 55101

Ramsey County (651) 254-7760

DANIEL E HATHAWAY MD

Internal Medicine (Rheumatology)

401 PHALEN BLVD, MAIL STOP 41103A
SAINT PAUL, MN 55101

Ramsey County (651) 254-7800

JOHN DANIEL NELSON MD

Ophthalmology

401 PHALEN BLVD, MAIL STOP 41102E
ST PAUL, MN 55101

Ramsey County (651) 254-7500

PAUL ALLAN ABRAHAM MD

Internal Medicine (Nephrology)

401 PHALEN BLVD, MAIL STOP 41103C
ST PAUL, MN 55101

Ramsey County (651) 254-7850

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 Anthony Pfaff's NPI number?

The NPI number for Anthony Pfaff is 1386610731. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Anthony Pfaff located?

Anthony Pfaff practices at 401 Phalen Blvd Mail Stop 41102E, St Paul, MN 55101. The listed phone number is (651) 254-7500.

What is Anthony Pfaff's specialty?

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

Is Anthony Pfaff enrolled in Medicare?

Yes. Anthony Pfaff is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anthony Pfaff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Pfaff reassigns Medicare benefits to Group Health, Inc. (Saint Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Pfaff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anthony Pfaff was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.