CMS-1500 Box 24J / 33a • NPI
1639622376
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
152W00000X (CMS 41)
Licensed & Credentialed Eye and Vision Service Providers — Optometrist
Box 32 Service Location & ZIP+4
1311 2ND ST N STE 105, SAUK RAPIDS, MN, 56379-2582
✓ 9-Digit EDI 837 ZIP+4 (56379-2582)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1639622376 (KAYLEEN DEMPSEY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
No
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1639622376)
Medicare Beneficiaries
148
Total Billed Services
421
Distinct CPT/HCPCS Codes
22
Medicare Allowed Total
$34,079.21
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
92014 | Established patient complete exam of visual system | 97 |
92083 | Exam of visual field with extended testing | 41 |
92133 | Imaging of optic nerve | 36 |
92134 | Imaging of retina | 51 |
92250 | Photography of the retina | 39 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 78 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 36 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Brimonidine Tartrate-Timolol Brimonidine Tartrate/Timolol | 12 | <11 |
| Cyclosporine Cyclosporine | 13 | <11 |
| Erythromycin Erythromycin Base | 27 | 22 |
| Fluorometholone Fluorometholone | 17 | <11 |
| Latanoprost Latanoprost | 87 | 19 |
| Neomycin-Polymyxin-Dexameth Neomycin/Polymyxin B/Dexametha | 17 | 16 |
| Prednisolone Acetate Prednisolone Acetate | 42 | 34 |
| Timolol Maleate Timolol Maleate | 29 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1639622376 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KAYLEEN DEMPSEY |
| Plain-English Specialty | Licensed & Credentialed Eye and Vision Service Providers — Optometrist NUCC Code: 152W00000X (Optometrist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1311 2ND ST N STE 105, SAUK RAPIDS, MN, 56379-2582 |
| Practice Telephone / Fax | Tel: (320) 774-3666 | Fax: (320) 774-3660 |
| Administrative Mailing Address | 4796 PATTERSON MILL ROAD, BEDFORD, VA, 24523 |
| Enumeration & Last Sync | Enumerated: 2016-07-29 | CMS Record Updated: 2020-11-23 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (152W00000X)
What Does Taxonomy Code 152W00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152W00000X translates to:
"Licensed & Credentialed Eye and Vision Service Providers — Optometrist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KAYLEEN DEMPSEY)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
152W00000X — OptometristPlain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist | State: VA | License: 0618002505 | Primary: Secondary |
152W00000X — OptometristPlain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist | State: MN | License: 3523 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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