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SUZETTE SKAVLEM OD
NPI 1790267987
Optometrist in St Louis Park, MN

Active since September 04, 2018PECOS Enrolled
3840 GRAND WAY, ST LOUIS PARK, MN 55416(952) 848-2020(952) 922-2015 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2024, May 19, 2023, Aug 14, 2019 and 2 more (5 updates tracked since 2018).

About Suzette Skavlem Od NPPES

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

SUZETTE SKAVLEM OD (NPI 1790267987) is an individual optometrist in St Louis Park, Minnesota, licensed in Minnesota (3770) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2018).

NPPES Registry Identity

NPI1790267987
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSUZETTE SKAVLEMCredential: OD
Location Address3840 GRAND WAYSt Louis Park, MN 55416-4788
Mailing Address3840 Grand WaySt Louis Park, MN 55416-4788 · (952) 848-2020 · Fax (952) 922-2015
Phone(952) 848-2020
Fax(952) 922-2015
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2018
Enumeration DateSeptember 4, 2018
Last NPPES UpdateSeptember 5, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1790267987 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 · 3770
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.
3840 GRAND WAY, St Louis Park, MN 55416
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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, Blue Cross and Blue Shield of Montana 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 (PECOS)

Suzette Skavlem Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668871344
PECOS Enrollment IDI20220406001468
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 Suzette Skavlem reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Roman Gerber LLC
Same address
Optometrist
3840 GRAND WAY
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1306365846 (952) 848-2020
Crystal Vision Clinic PA
8.5 mi
Optometrist
5730 BOTTINEAU BLVD.
Crystal, MN 55429
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1720480007 (763) 537-3213
Sarah K. Ebeling, Od, PLLC
11 mi
Optometrist
600 MARKET ST, SUITE 110
Chanhassen, MN 55317
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1336541408 (952) 937-9465

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 2

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.
16 services16 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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 3

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

ROMAN GERBER LLC
Optometrist
3840 GRAND WAY
ST LOUIS PARK, MN 55416
Hennepin County (952) 848-2020
DR. ROMAN BORIS GERBER O.D
Optometrist
3840 GRAND WAY
ST LOUIS PARK, MN 55416
Hennepin County (952) 848-2020
DR. KATELYN J MCDEVITT OD
Optometrist
3840 GRAND WAY
ST LOUIS PARK, MN 55416
Hennepin County (952) 848-2020

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 Suzette Skavlem's NPI number?

The NPI number for Suzette Skavlem is 1790267987. It was assigned to this individual provider in the NPPES registry on September 4, 2018.

Where is Suzette Skavlem located?

Suzette Skavlem practices at 3840 Grand Way, St Louis Park, MN 55416. The listed phone number is (952) 848-2020.

What is Suzette Skavlem's specialty?

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

Is Suzette Skavlem enrolled in Medicare?

Yes. Suzette Skavlem is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Suzette Skavlem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzette Skavlem reassigns Medicare benefits to 3 organizations: Roman Gerber LLC (St Louis Park, MN), Crystal Vision Clinic PA (Crystal, MN) and Sarah K. Ebeling, Od, PLLC (Chanhassen, 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 Suzette Skavlem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suzette Skavlem accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Suzette Skavlem 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 Suzette Skavlem was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.