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DR. GARY L JENSEN
NPI 1770508426
Optometrist in Chisholm, MN

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
74.83/100
CMS Quality Rating
11 NW FIRST AVE, CHISHOLM, MN 55719(218) 254-4393(218) 254-5471 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Gary L Jensen NPPES

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

DR. GARY L JENSEN (NPI 1770508426) is an individual optometrist in Chisholm, Minnesota, licensed in Minnesota (1610) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1975).

NPPES Registry Identity

NPI1770508426
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. GARY L JENSEN
Location Address11 NW FIRST AVEChisholm, MN 55719-1811
Mailing Address11 Nw First AveChisholm, MN 55719-1811 · (218) 254-4393 · Fax (218) 254-5471
Phone(218) 254-4393
Fax(218) 254-5471
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1975
Enumeration DateJuly 13, 2006
Last NPPES UpdateJanuary 5, 2010
✔ NPI 1770508426 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 · 1610
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.
11 NW FIRST AVE, Chisholm, MN 55719
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Other Names 1

Professional Name (2)Dr. Gary L Jensen Od

Other Identifiers 21

OtherOD327JEFirst First Plan Pin
Other411260738Bcwp Bcbs Of Penn Pin
Other524223100Mnma Mn Med Assist Pin
Other2200980Mdma1 Medica Pin
Other411260738Pabs Clarity Vision Pin
OtherOD327JEBcmad Bcbs Pin
Medicare PIN419000858
OtherOD327JEFirsd First Plan Disp Pin
OtherOD327JECom Comp Care Pin
OtherOD327JEAnthem Bcbs Pin
Medicare NSC0150730001MN
Other2200981Mdma2 Medica Pin
OtherOD327JEBcmn Bcbs Pin
Medicare UPINT65653
Other01020509Pre00 United Health Pin
Other2100694Mdma3 Medica Pin
Other2200980Mccs1 Medica Pin
Medicare PIN410000645
OtherOD327JEBcma Bcbs Pin
Other01020509Bois Preferred One Pin
Other0150730001Administar Federal(dmerc), Inc.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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. Gary L Jensen 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 ID244277622
PECOS Enrollment IDI20050418000178
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

2

Medicare enrollment records show Gary Jensen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bechthold Eye Care PA
Same address
Optometrist
11 1ST AVE NW
Chisholm, MN 55719
  • Reassigned Medicare billing, Minnesota enrollment
  • 2 clinicians in this Medicare group
NPI 1881259794 (218) 254-4393
Sundell Eye Associates, PA
16 mi
Ophthalmology
602 N 6TH AVE
Virginia, MN 55792
  • Reassigned Medicare billing, Minnesota enrollment
  • 4 clinicians in this Medicare group
NPI 1093027112 (218) 741-4411

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 55719 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.

74.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost16.1

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 Gary Jensen's NPI number?

The NPI number for Gary Jensen is 1770508426. It was assigned to this individual provider in the NPPES registry on July 13, 2006. The provider is also known as Dr. Gary L Jensen Od.

Where is Gary Jensen located?

Gary Jensen practices at 11 NW First Ave, Chisholm, MN 55719. The listed phone number is (218) 254-4393.

What is Gary Jensen's specialty?

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

Is Gary Jensen enrolled in Medicare?

Yes. Gary Jensen 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 organizations bill Medicare for Gary Jensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Jensen reassigns Medicare benefits to 2 organizations: Bechthold Eye Care PA (Chisholm, MN) and Sundell Eye Associates, PA (Virginia, MN). 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 Gary Jensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Jensen accept?

Health plans from HealthPartners and Medica list Gary Jensen 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 Gary Jensen was last updated on January 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.