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BENJAMIN MICHALICEK OD
NPI 1396323176
Optometrist in Saint Paul, MN

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment
272 SNELLING AVE S STE 300, SAINT PAUL, MN 55105(651) 369-7833(651) 560-5732 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2026, Dec 12, 2025, May 16, 2024 and 2 more (5 updates tracked since 2021).

About Benjamin Michalicek Od NPPES

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

BENJAMIN MICHALICEK OD (NPI 1396323176) is an individual optometrist in Saint Paul, Minnesota, licensed in Minnesota (3802) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2021).

NPPES Registry Identity

NPI1396323176
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBENJAMIN MICHALICEKCredential: OD
Location Address272 SNELLING AVE S STE 300Saint Paul, MN 55105-2829
Mailing Address272 Snelling Ave S Ste 300Saint Paul, MN 55105-2829 · (651) 369-7833 · Fax (651) 560-5732
Phone(651) 369-7833
Fax(651) 560-5732
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2021
Enumeration DateMarch 31, 2021
Last NPPES UpdateApril 13, 20265 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1396323176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MN · 3802✔ Licensed in WI · 3969
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.
272 SNELLING AVE S STE 300, Saint Paul, MN 55105
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Accepted Insurance

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

Benjamin Michalicek 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 ID6002219938
PECOS Enrollment IDI20220927002009, I20240703001335
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

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.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55105 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

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

LAUREN K HAVERLY LLC
Optometrist
272 SNELLING AVE S STE 300
SAINT PAUL, MN 55105
Ramsey County (952) 393-2343

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 Michalicek's NPI number?

The NPI number for Benjamin Michalicek is 1396323176. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Benjamin Michalicek located?

Benjamin Michalicek practices at 272 Snelling Ave S Ste 300, Saint Paul, MN 55105. The listed phone number is (651) 369-7833.

What is Benjamin Michalicek's specialty?

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

Is Benjamin Michalicek enrolled in Medicare?

Yes. Benjamin Michalicek 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 Michalicek accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Benjamin Michalicek 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 Michalicek was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.