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DR. SEAN MICHAEL LAVALLIE O.D.
NPI 1598144099
Optometrist in Stillwater, MN

Active since May 29, 2015PECOS EnrolledAccepts Medicare Assignment
83.07/100
CMS Quality Rating
2950 CURVE CREST BLVD W, STILLWATER, MN 55082(651) 275-3000(651) 275-3027 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sean Michael Lavallie O.d. NPPES

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

DR. SEAN MICHAEL LAVALLIE O.D. (NPI 1598144099) is an individual optometrist in Stillwater, Minnesota, licensed in Minnesota (3427) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2015).

NPPES Registry Identity

NPI1598144099
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SEAN MICHAEL LAVALLIECredential: O.D.
Location Address2950 CURVE CREST BLVD WStillwater, MN 55082-5085
Mailing Address1719 Tower Dr W Ste 100Stillwater, MN 55082-7512 · (651) 275-3000 · Fax (651) 275-3027
Phone(651) 275-3000
Fax(651) 275-3027
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2015
Enumeration DateMay 29, 2015
Last NPPES UpdateMay 13, 2020
NPPES CertifiedMay 13, 2020
✔ NPI 1598144099 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 · 3427
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.
2950 CURVE CREST BLVD W, Stillwater, MN 55082
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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, HealthPartners and more.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. Sean Michael Lavallie O.d. 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 ID8527378264
PECOS Enrollment IDI20151109000226, I20170104001376
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 Sean Lavallie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Associated Eye Care Ltd
Same address
Optometrist
2950 CURVE CREST BLVD W
Stillwater, MN 55082
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • 23 clinicians in this Medicare group
NPI 1881699197 (651) 275-3000

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 9

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.

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.
169 services167 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.
72 services67 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.
36 services34 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
35 services35 patients
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.
34 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55082 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.

83.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability95
Improvement Activities40
Cost47.74

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.

JACOB R LANG O.D.
Optometrist
2950 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 275-3000
DR. JESSE VISLISEL M.D.
Ophthalmology
2950 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 275-3000
DR. ALEXANDRA MAE LITERSKI OD
Optometrist
2950 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 275-3000
DR. KENNEDY MORGAN SIMMONS OD
Optometrist
2950 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 275-3000
GRETCHEN ROSE CURTIS OD
Optometrist
2950 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 275-3000
BRIAN J TIENOR MD
Ophthalmology
2950 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 275-3050
DR. LAURA CAPELLE OD
Optometrist
2950 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 275-3000
KELSEY ELIZABETH ENGELBART OD
Optometrist
2950 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 275-3000

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 Sean Lavallie's NPI number?

The NPI number for Sean Lavallie is 1598144099. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Where is Sean Lavallie located?

Sean Lavallie practices at 2950 Curve Crest Blvd W, Stillwater, MN 55082. The listed phone number is (651) 275-3000.

What is Sean Lavallie's specialty?

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

Is Sean Lavallie enrolled in Medicare?

Yes. Sean Lavallie 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 Sean Lavallie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Lavallie reassigns Medicare benefits to Associated Eye Care Ltd (Stillwater, 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 Sean Lavallie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Lavallie accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, HealthPartners and Providence Health Plan list Sean Lavallie 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 Sean Lavallie was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.