MEREDITH STALLONE
NPI 1821589680
Optometrist in Maple Grove, MN

Active since May 28, 2018PECOS EnrolledAccepts Medicare Assignment
14500 99TH AVE N STE 100, MAPLE GROVE, MN 55369(763) 898-1000 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2019, Jul 2, 2018 (2 updates tracked since 2018).

About Meredith Stallone NPPES

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

MEREDITH STALLONE (NPI 1821589680) is an individual optometrist in Maple Grove, Minnesota, licensed in New York (TUV008777) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of State University Of New York - State College Optometry (2018).

NPPES Registry Identity

NPI1821589680
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMEREDITH STALLONE
Location Address14500 99TH AVE N STE 100Maple Grove, MN 55369-4738
Mailing Address57 Benson AveSayville, NY 11782-2916
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2018
Enumeration DateMay 28, 2018
Last NPPES UpdateNovember 21, 20192 updates tracked since enumeration
✔ NPI 1821589680 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 NY · TUV008777
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.
14500 99TH AVE N STE 100, Maple Grove, MN 55369

Secondary Practice Location 1

Location 133 W 42nd StNew York, NY 10036 · Phone (212) 938-4000

Accepted 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

Meredith Stallone 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 ID4688923717
PECOS Enrollment IDI20191202000399
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

7

Medicare enrollment records show Meredith Stallone reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Multi-Specialty
14500 99TH AVE N, STE 100
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Medical Oncology
14500 99TH AVE N, STE LL200
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Primary Care
2426 W BROADWAY AVE
Minneapolis, MN 55411
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
Optometrist
400 WATER ST STE 105
Excelsior, MN 55331
  • Reassigned Medicare billing, Minnesota enrollment
  • 22 clinicians in this Medicare group

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 55369 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 6

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

Internal Medicine (Gastroenterology)
14500 99TH AVE N STE 100
MAPLE GROVE, MN 55369
Physician Assistant
14500 99TH AVE N STE 100
MAPLE GROVE, MN 55369
Family Medicine
14500 99TH AVE N STE 100
MAPLE GROVE, MN 55369
Internal Medicine (Medical Oncology)
14500 99TH AVE N STE 100
MAPLE GROVE, MN 55369
Radiology (Vascular & Interventional Radiology)
14500 99TH AVE N STE 100
MAPLE GROVE, MN 55369
Internal Medicine (Medical Oncology)
14500 99TH AVE N STE 100
MAPLE GROVE, MN 55369

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 Meredith Stallone's NPI number?

The NPI number for Meredith Stallone is 1821589680. It was assigned to this individual provider in the NPPES registry on May 28, 2018.

Where is Meredith Stallone located?

Meredith Stallone practices at 14500 99th Ave N Ste 100, Maple Grove, MN 55369. The listed phone number is (763) 898-1000.

What is Meredith Stallone's specialty?

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

Is Meredith Stallone enrolled in Medicare?

Yes. Meredith Stallone 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 Meredith Stallone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Meredith Stallone reassigns Medicare benefits to 7 organizations: Fairview Clinics (Maple Grove, MN), Fairview Express Care (Maple Grove, MN), University Of Minnesota Physicians (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN) and 2 more organizations, listed in the Medicare section above. 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 Meredith Stallone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Meredith Stallone accept?

Health plans from Sanford Health Plan list Meredith Stallone 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 Meredith Stallone was last updated on November 21, 2019. 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.