Dr. Janice M Sinclair , MD
Ophthalmology โข Maple Grove, MN
12000 Elm Creek Blvd N Ste 100
Maple Grove, MN 553697074
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on January 3, 2006; this date does not establish years in practice.
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Published CMS data list 1,002 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 314 service units.
- 99214 โ Established patient outpatient office visit: 206 service units.
- 92014 โ Established patient complete exam of visual system: 131 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 11 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 2,098 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Latanoprost โ 902 prescription fills, including refills.
- Timolol Maleate โ 371 prescription fills, including refills.
- Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) โ 202 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 24 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Ophthalmology in Minnesota (2024, 252 clinicians with data). Median for this group: 1,102. Middle half: 457 to 1,797.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,243 in 2020 to 1,002 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
12000 Elm Creek Blvd N Ste 100
Maple Grove, MN 553697074
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Golden Valley, MN; Wayzata, MN. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Northwest Eye Clinic Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Minnesota Medical School
1996
What Public CMS Data Show
Ophthalmology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
569 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $90,591 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $58,211 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
4,475 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$206,450 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019โ2025.
Years since graduation
30 years (graduated 1996)
CMS Doctors and Clinicians data list 1996 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Sinclair has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Sinclair as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Maple Grove and Minnesota
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Ophthalmology in Minnesota (2024, 252 clinicians with data). Median for this group: 1,102. Middle half: 457 to 1,797.
Too few clinicians listed under Ophthalmology in Maple Grove have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 60% of clinicians listed under Ophthalmology in Minnesota (2024, 252 clinicians with data). Median for this group: $132,426. Middle half: $55,265 to $226,147.
Too few clinicians listed under Ophthalmology in Maple Grove have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 65% of clinicians listed under Ophthalmology in Minnesota (2024, 252 clinicians with data). Median for this group: $95,219. Middle half: $34,256 to $160,946.
Too few clinicians listed under Ophthalmology in Maple Grove have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Ophthalmology in Minnesota (2024, 274 clinicians with data). Median for this group: 917. Middle half: 326 to 1,879.
Too few clinicians listed under Ophthalmology in Maple Grove have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Ophthalmology in Minnesota (2024, 274 clinicians with data). Median for this group: $45,837. Middle half: $11,257 to $132,065.
Too few clinicians listed under Ophthalmology in Maple Grove have Medicare Part D data for 2024 to compare.
5 active clinicians are listed under Ophthalmology with a practice address in Maple Grove, MN (434 in Minnesota).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 19% from 1,243 in 2020 to 1,002 in 2024.
- 2020: 1,243
- 2021: 1,342
- 2022: 1,172
- 2023: 1,106
- 2024: 1,002
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Medicare-allowed amount
Medicare-allowed amount decreased 24% from $118,839 in 2020 to $90,591 in 2024.
- 2020: $118,839
- 2021: $140,497
- 2022: $121,020
- 2023: $104,071
- 2024: $90,591
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Paid by Medicare
Paid by Medicare decreased 22% from $74,693 in 2020 to $58,211 in 2024.
- 2020: $74,693
- 2021: $91,361
- 2022: $75,454
- 2023: $67,361
- 2024: $58,211
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 29% from 1,628 in 2020 to 2,098 in 2024.
- 2020: 1,628
- 2021: 1,737
- 2022: 2,157
- 2023: 2,039
- 2024: 2,098
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30-day fills
30-day fills increased 45% from 3,080 in 2020 to 4,475 in 2024.
- 2020: 3,080
- 2021: 3,364
- 2022: 4,234
- 2023: 4,199
- 2024: 4,475
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Part D drug cost
Part D drug cost increased 22% from $168,752 in 2020 to $206,450 in 2024.
- 2020: $168,752
- 2021: $174,654
- 2022: $209,442
- 2023: $202,904
- 2024: $206,450
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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314 | 275 | $185.00 | $88.48 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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206 | 185 | $272.26 | $124.69 |
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92014
Established patient complete exam of visual system
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131 | 131 | $320.56 | $124.66 |
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92083
Exam of visual field with extended testing
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125 | 118 | $164.00 | $63.12 |
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92133
Imaging of optic nerve
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124 | 119 | $112.00 | $34.43 |
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92134
Imaging of retina
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27 | 27 | $114.00 | $38.87 |
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92012
Established patient problem focused exam of visual system
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19 | 18 | $224.00 | $88.63 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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19 | 19 | $271.00 | $107.88 |
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76514
Ultrasound scan of cornea to determine thickness
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13 | 13 | $43.00 | $10.45 |
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92004
New patient complete exam of visual system
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12 | 12 | $382.00 | $148.26 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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12 | 12 | $411.00 | $161.15 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Latanoprost | Latanoprost | 902 | 59,478 | $17,498.96 | 266 |
| Timolol Maleate | Timolol Maleate | 371 | 28,349 | $4,926.79 | 132 |
| Dorzolamide-Timolol | Dorzolamide Hcl/Timolol Maleat | 202 | 11,950 | $4,515.11 | 54 |
| Brimonidine Tartrate | Brimonidine Tartrate | 96 | 6,467 | $6,664.22 | 34 |
| Neomycin-Polymyxin-Dexameth | Neomycin/Polymyxin B/Dexametha | 62 | 975 | $720.35 | 55 |
| Dorzolamide Hcl | Dorzolamide Hcl | 50 | 3,046 | $742.91 | 14 |
| Restasis | Cyclosporine | 48 | 3,750 | $74,821.78 | 34 |
| Lumigan | Bimatoprost | 42 | 2,614 | $22,487.80 | 14 |
| Travoprost | Travoprost | 34 | 1,470 | $7,564.32 | โ |
| Fluorometholone | Fluorometholone | 31 | 996 | $2,007.19 | 26 |
| Prednisolone Acetate | Prednisolone Acetate | 29 | 1,369 | $1,243.30 | 17 |
| Erythromycin | Erythromycin Base | 29 | 559 | $465.38 | 17 |
| Doxycycline Hyclate | Doxycycline Hyclate | 25 | 1,590 | $422.17 | โ |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 23 | 1,050 | $349.07 | โ |
| Rhopressa | Netarsudil Mesylate | 22 | 500 | $6,681.34 | โ |
| Tyrvaya | Varenicline Tartrate | 19 | 690 | $13,736.23 | โ |
| Simbrinza | Brinzolamide/Brimonidine Tart | 17 | 1,019 | $4,032.56 | โ |
| Xiidra | Lifitegrast | 16 | 900 | $19,971.36 | โ |
| Brimonidine Tartrate-Timolol | Brimonidine Tartrate/Timolol | 16 | 1,145 | $4,678.45 | โ |
| Polymyxin B Sul-Trimethoprim | Polymyxin B Sulf/Trimethoprim | 14 | 435 | $130.62 | 13 |
| Cyclosporine | Cyclosporine | 14 | 975 | $8,540.06 | โ |
| Vyzulta | Latanoprostene Bunod | 13 | 393 | $3,937.11 | โ |
| Azithromycin | Azithromycin | 12 | 652 | $112.20 | โ |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 11 | 154 | $200.75 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-03-18NUCC Taxonomy Code: 207W00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OPHTHALMOLOGY
I20100803001311
MN
0749173649
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Northwest Eye Clinic Llc
12000 Elm Creek Blvd N, Maple Grove, MN 553697074
Phone: 7634167600
Secondary Practice Locations
250 Central Ave N Ste 107
Wayzata, MN 553911207
Phone: 7634167600
8501 Golden Valley Rd Ste 100
Golden Valley, MN 554274472
Phone: 7634167600
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Ophthalmology
Doctor of Medicine (M.D.)
Ophthalmology
Doctor of Medicine (M.D.)
Ophthalmology
Doctor of Medicine (M.D.)
Ophthalmology
Doctor of Medicine (M.D.)
Ophthalmology
Doctor of Medicine (M.D.)
Optometrist
Doctor of Optometry
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 12000 ELM CREEK BLVD N STE 100, MAPLE GROVE, MN 553697074 (Tel: 7634167600)
Registered at 8401 GOLDEN VALLEY RD STE 330, GOLDEN VALLEY, MN 554274488 (Tel: 7634167629)
NPI status registered as active in NPPES database
Registered at 2805 CAMPUS DR, SUITE 105, PLYMOUTH, MN 554412676 (Tel: 7634167600)
Registered at 8401 GOLDEN VALLEY RD, SUITE 330, GOLDEN VALLEY, MN 554274486 (Tel: 7633834130)
Recorded as JANICE SINCLAIR, MD
Ophthalmology (license number reported to NPPES: MN 40348)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Ophthalmology Specialists in Maple Grove
- Dr. Alejandra Decanini Mancera, MD
- Dr. Gerald Loushin, MD
- Dr. Mrunalini Parvataneni, MD
- Dr. Matthew Ramsey, MD
Mailing Address
8401 Golden Valley Rd Ste 330
Golden Valley, MN 554274488
Phone: 7634167629