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THERESIA F DIXON OD
NPI 1932139003
Optometrist in Bloomington, MN

Active since July 04, 2006PECOS Enrolled
344 E BROADWAY, MALL OF AMERICA, BLOOMINGTON, MN 55425(952) 858-8414(952) 858-8416 Get Directions Write a Review

NPPES record last updated: January 22, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theresia F Dixon Od NPPES

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

THERESIA F DIXON OD (NPI 1932139003) is an individual optometrist in Bloomington, Minnesota, licensed in Minnesota (2530) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932139003
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameTHERESIA F DIXONCredential: OD
Location Address344 E BROADWAY, MALL OF AMERICABloomington, MN 55425-5514
Mailing Address344 E Broadway, Mall Of AmericaBloomington, MN 55425-5514 · (952) 858-8414 · Fax (952) 858-8416
Phone(952) 858-8414
Fax(952) 858-8416
Sole ProprietorNo
Enumeration DateJuly 4, 2006
Last NPPES UpdateJanuary 22, 2013
✔ NPI 1932139003 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 · 2530
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.

344 E BROADWAY, Bloomington, MN 55425
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Other Identifiers 3

Medicare UPINU57831MN
Medicare ID-Type Unspecified410001868MN
Medicaid301019800MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Theresia F Dixon Od 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55425 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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
99%140 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
83%24 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
63%38 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
89%2,204 patients3/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
86%35 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 246 patients
0%246 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

DRS. NORTH & WATSON, OPTOMETRISTS P. A.
Optometrist
344 E BROADWAY, MALL OF AMERICA
BLOOMINGTON, MN 55425
Hennepin County (952) 858-8404

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 Theresia Dixon's NPI number?

The NPI number for Theresia Dixon is 1932139003. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Theresia Dixon located?

Theresia Dixon practices at 344 E Broadway Mall Of America, Bloomington, MN 55425. The listed phone number is (952) 858-8414.

What is Theresia Dixon's specialty?

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

Is Theresia Dixon enrolled in Medicare?

Yes. Theresia Dixon is registered in the Medicare PECOS enrollment system.

What insurance does Theresia Dixon accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HealthPartners and 1 other insurer list Theresia Dixon 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 Theresia Dixon was last updated on January 22, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.