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LEE JOSEPH GILMORE O.D.
NPI 1427105865
Optometrist in Saint Cloud, MN

Active since January 05, 2007PECOS Enrolled
4201 W DIVISION ST STE 90, SAINT CLOUD, MN 56301(320) 259-1131(320) 259-9394 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 5, 2020, Apr 20, 2017 (2 updates tracked since 2017).

About Lee Joseph Gilmore O.d. NPPES

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

LEE JOSEPH GILMORE O.D. (NPI 1427105865) is an individual optometrist in Saint Cloud, Minnesota, licensed in Minnesota (2812) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427105865
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameLEE JOSEPH GILMORECredential: O.D.
Location Address4201 W DIVISION ST STE 90Saint Cloud, MN 56301-4546
Mailing Address4201 W Division St Ste 90Saint Cloud, MN 56301-4546 · (320) 259-1131 · Fax (320) 259-9394
Phone(320) 259-1131
Fax(320) 259-9394
Sole ProprietorNo
Enumeration DateJanuary 5, 2007
Last NPPES UpdateNovember 5, 20202 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1427105865 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 · 2812
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.
4201 W DIVISION ST STE 90, Saint Cloud, MN 56301
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lee Joseph Gilmore O.d. 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 Lee Gilmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Visionworks, Inc.
142 mi
Optometrist
1301 18TH AVE NW
Austin, MN 55912
  • Reassigned Medicare billing, Minnesota enrollment
  • 76 clinicians in this Medicare group
NPI 1881962173 (507) 437-6443

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 56301 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.

JOHN HUYLER OD
Optometrist
4201 W DIVISION ST STE 90
SAINT CLOUD, MN 56301
Stearns County (320) 259-1131

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 Lee Gilmore's NPI number?

The NPI number for Lee Gilmore is 1427105865. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Lee Gilmore located?

Lee Gilmore practices at 4201 W Division St Ste 90, Saint Cloud, MN 56301. The listed phone number is (320) 259-1131.

What is Lee Gilmore's specialty?

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

Is Lee Gilmore enrolled in Medicare?

Yes. Lee Gilmore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lee Gilmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Gilmore reassigns Medicare benefits to Visionworks, Inc. (Austin, 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 Lee Gilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lee Gilmore accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Lee Gilmore 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 Lee Gilmore was last updated on November 5, 2020. 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.