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MR. JEFFREY PAUL SANDERSON M.D.
NPI 1669464970
Ophthalmology in Edina, MN

Active since August 22, 2005PECOS Enrolled
5137 GUS YOUNG LANE, SANDERSON EYE SPECIALISTS, EDINA, MN 55436(952) 641-6226(952) 641-6229 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Jeffrey Paul Sanderson M.d. NPPES

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

MR. JEFFREY PAUL SANDERSON M.D. (NPI 1669464970) is an individual ophthalmology provider in Edina, Minnesota, licensed in Minnesota (44481) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669464970
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. JEFFREY PAUL SANDERSONCredential: M.D.
Location Address5137 GUS YOUNG LANE, SANDERSON EYE SPECIALISTSEdina, MN 55436
Mailing Address5137 Gus Young Lane, Sanderson Eye SpecialistsEdina, MN 55436 · (952) 641-6226 · Fax (952) 641-6229
Phone(952) 641-6226
Fax(952) 641-6229
Sole ProprietorYes
Enumeration DateAugust 22, 2005
Last NPPES UpdateJuly 31, 2015
✔ NPI 1669464970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MN · 44481
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedSpecialistTaxonomy 174400000X · License 200513762 (MO)
5137 GUS YOUNG LANE, Edina, MN 55436
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINI36977MN
Medicare ID-Type Unspecified11480837MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeffrey Paul Sanderson M.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 Reassignments

3

Medicare enrollment records show Jeffrey Sanderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
2.2 mi
Surgery
6405 FRANCE AVE S, SUITE W440
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1235395864 (952) 927-7004
Fairview Health Services
2.2 mi
General Acute Care Hospital
6401 FRANCE AVE S
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1699752915 (952) 924-5000
St. Croix Regional Medical Center
49 mi
Critical Access
235 STATE ST
Saint Croix Falls, WI 54024
  • Reassigned Medicare billing, Wisconsin enrollment
  • 453 clinicians in this Medicare group
NPI 1043240922 (715) 483-3221

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 55436 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.

SANDERSON EYE PLLC
Ophthalmology
5137 GUS YOUNG LANE
EDINA, MN 55436
Hennepin County (952) 641-6226

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 Jeffrey Sanderson's NPI number?

The NPI number for Jeffrey Sanderson is 1669464970. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Jeffrey Sanderson located?

Jeffrey Sanderson practices at 5137 Gus Young Lane Sanderson Eye Specialists, Edina, MN 55436. The listed phone number is (952) 641-6226.

What is Jeffrey Sanderson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jeffrey Sanderson enrolled in Medicare?

Yes. Jeffrey Sanderson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeffrey Sanderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Sanderson reassigns Medicare benefits to 3 organizations: Fairview Express Care (Edina, MN), Fairview Health Services (Edina, MN) and St. Croix Regional Medical Center (Saint Croix Falls, WI). Each 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 Jeffrey Sanderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Sanderson was last updated on July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.