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DR. DONALD H SEALOCK OD
NPI 1427018266
Optometrist in Plymouth, MN

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
4455 HIGHWAY 169 N, PLYMOUTH, MN 55442(763) 559-7358(763) 559-2167 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Donald H Sealock Od NPPES

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

DR. DONALD H SEALOCK OD (NPI 1427018266) is an individual optometrist in Plymouth, Minnesota, licensed in Minnesota (2103) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1986).

NPPES Registry Identity

NPI1427018266
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DONALD H SEALOCKCredential: OD
Location Address4455 HIGHWAY 169 NPlymouth, MN 55442-2897
Mailing Address4455 Highway 169 NPlymouth, MN 55442-2897 · (763) 559-7358 · Fax (763) 559-2167
Phone(763) 559-7358
Fax(763) 559-2167
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1986
Enumeration DateMarch 24, 2006
Last NPPES UpdateNovember 6, 2013
✔ NPI 1427018266 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 · 2103
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.
4455 HIGHWAY 169 N, Plymouth, MN 55442
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Other Identifiers 3

Medicaid408723200MN
Medicare UPINT39454MN
Medicare ID-Type Unspecified410000030MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Providence Health Plan.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

Dr. Donald H Sealock 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 ID2466492699
PECOS Enrollment IDI20101104001661
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 12

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
4,588 services28 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
2,161 services25 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
238 services238 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
228 services102 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
224 services208 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
217 services208 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55442 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance…
97%33 patients
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%298 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
98%56 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%5,559 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%593 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
3%975 patients1/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
98%994 patients5/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%909 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
10%3,737 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 93% · 944 patients
Patients tobacco: 100% · 65 patients
93%944 patients4/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
94%1,043 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
74%1,202 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%3,737 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

TYLER SEALOCK
Optometrist
4455 HIGHWAY 169 N
PLYMOUTH, MN 55442
Hennepin County (763) 559-7358
GRANT SEALOCK OD
Optometrist
4455 HIGHWAY 169 N
PLYMOUTH, MN 55442
Hennepin County (763) 559-7358
NICOLE ANN SOLEM OD
Optometrist
4455 HIGHWAY 169 N
PLYMOUTH, MN 55442
Hennepin County (763) 559-7358
DR. JOSEPH DALE OSBORNE D.C.
Chiropractor
4455 HIGHWAY 169 N, #200
PLYMOUTH, MN 55442
Hennepin County (763) 557-9032
LEAH RUHLAND OD
Optometrist
4455 HIGHWAY 169 N
PLYMOUTH, MN 55442
Hennepin County (763) 559-7358
VALENTINI CHIROPRACTIC CLINIC LTD PA
Chiropractor
4455 HIGHWAY 169 N, #200
PLYMOUTH, MN 55442
Hennepin County (763) 557-9032
DON SEALOCK, O.D., P.A.
Optometrist
4455 HIGHWAY 169 N
PLYMOUTH, MN 55442
Hennepin County (763) 559-7358
DR. TIMOTHY J HURLEY OD
Optometrist
4455 HIGHWAY 169 N
PLYMOUTH, MN 55442
Hennepin County (763) 551-0529

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 Donald Sealock's NPI number?

The NPI number for Donald Sealock is 1427018266. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Donald Sealock located?

Donald Sealock practices at 4455 Highway 169 N, Plymouth, MN 55442. The listed phone number is (763) 559-7358.

What is Donald Sealock's specialty?

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

Is Donald Sealock enrolled in Medicare?

Yes. Donald Sealock 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 Donald Sealock accept?

Health plans from HealthPartners, Medica and Providence Health Plan list Donald Sealock 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 Donald Sealock was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.