DR. JONATHAN PRIBILA MD, PHD
NPI 1407974561
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in St Louis Park, MN
About Dr. Jonathan Pribila Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JONATHAN PRIBILA MD, PHD (NPI 1407974561) is an individual pediatric ophthalmology and strabismus specialist in St Louis Park, Minnesota, licensed in Minnesota (52517) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of University Of Minnesota Medical School (2005).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jonathan Pribila Md, Phd 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.
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Pribila reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
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 Jonathan Pribila's NPI number?
The NPI number for Jonathan Pribila is 1407974561. It was assigned to this individual provider in the NPPES registry on March 27, 2007.
Where is Jonathan Pribila located?
Jonathan Pribila practices at 3900 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-3150.
What is Jonathan Pribila's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.
Is Jonathan Pribila enrolled in Medicare?
Yes. Jonathan Pribila 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.
Which organization bills Medicare for Jonathan Pribila's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Pribila reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, 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 Jonathan Pribila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jonathan Pribila accept?
Health plans from HealthPartners list Jonathan Pribila 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 Jonathan Pribila affiliated with any hospitals?
According to CMS data, Jonathan Pribila is affiliated with Park Nicollet Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Jonathan Pribila was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Jonathan Pribila, MD, PHD · NPI 1407974561
Pediatric Ophthalmology and Strabismus Specialist physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since March 27, 2007.
## Identity
- **NPI:** 1407974561 (Entity type: Individual)
- **Enumerated:** March 27, 2007
- **Primary specialty:** Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist · taxonomy 207WX0110X
- **State license:** 52517 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3900 PARK NICOLLET BLVD, St Louis Park, MN 55416-2503
- **Phone:** (952) 993-3150 · **Fax:** (952) 993-0288
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2005
## Record status
- **NPPES last updated:** March 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1407974561) · Data from the CMS NPPES public registry.