1. Home
  2. Directory
  3. Minnesota
  4. Edina
  5. Ophthalmology
  6. NPI Profile

PRIYANKA KANAKAMEDALA M.D.
NPI 1790104974
Ophthalmology in Edina, MN

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
86.34/100
CMS Quality Rating
7450 FRANCE AVE S STE 100, EDINA, MN 55435(612) 999-2020(763) 421-0730 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2021, Jul 27, 2018 (2 updates tracked since 2018).

About Priyanka Kanakamedala M.d. NPPES

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

PRIYANKA KANAKAMEDALA M.D. (NPI 1790104974) is an individual ophthalmology provider in Edina, Minnesota, licensed in Minnesota (63807) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with St Croix Regional Medical Center, and is a graduate of Indiana University School Of Medicine (2014).

NPPES Registry Identity

NPI1790104974
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NamePRIYANKA KANAKAMEDALACredential: M.D.
Location Address7450 FRANCE AVE S STE 100Edina, MN 55435-4799
Mailing Address7450 France Ave S Ste 100Edina, MN 55435-4799 · (612) 999-2020 · Fax (763) 421-0730
Phone(612) 999-2020
Fax(763) 421-0730
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateOctober 1, 20252 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1790104974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MN · 63807
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.

7450 FRANCE AVE S STE 100, Edina, MN 55435
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.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

Priyanka Kanakamedala M.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 ID4789990474
PECOS Enrollment IDI20180608002352, I20190814001305, I20220706002156
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 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 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.
79 services56 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
75 services46 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.
48 services26 patients
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.
47 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
23 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Croix Regional Medical Center

Critical Access Hospitals · Saint Croix Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521337
Location235 E State StreetSaint Croix Falls, WI 54024 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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.

86.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.53
Promoting Interoperability94
Improvement Activities40
Cost59.95

Other Providers at the Same Location NPPES 4

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

CHRISTOPHER STEFONOWICZ MD
Ophthalmology
7450 FRANCE AVE S STE 100
EDINA, MN 55435
Hennepin County (952) 832-8100
RYAN JOHNSON M.D.
Ophthalmology
7450 FRANCE AVE S STE 100
EDINA, MN 55435
Hennepin County (952) 832-8100
DR. CHRISTINA ANNE KUZAS OD
Optometrist
7450 FRANCE AVE S STE 100
EDINA, MN 55435
Hennepin County (952) 832-8100
DR. ANDREW JAMES MACKNER OD
Optometrist
7450 FRANCE AVE S STE 100
EDINA, MN 55435
Hennepin County (952) 832-8100

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 Priyanka Kanakamedala's NPI number?

The NPI number for Priyanka Kanakamedala is 1790104974. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Priyanka Kanakamedala located?

Priyanka Kanakamedala practices at 7450 France Ave S Ste 100, Edina, MN 55435. The listed phone number is (612) 999-2020.

What is Priyanka Kanakamedala's specialty?

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

Is Priyanka Kanakamedala enrolled in Medicare?

Yes. Priyanka Kanakamedala 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 Priyanka Kanakamedala accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Security Health Plan list Priyanka Kanakamedala 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.

Is Priyanka Kanakamedala affiliated with any hospitals?

According to CMS data, Priyanka Kanakamedala is affiliated with St Croix Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Priyanka Kanakamedala was last updated on October 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.