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Dr. John T Knapp , MD

Ophthalmology โ€ข Saint Paul, MN

Active NPI 1962525501 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2500 Como Ave
Saint Paul, MN 55108

Call 6516416200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2500 Como Ave

Saint Paul, MN 55108

Telephone 6516416200
Organization at the Same NPPES Address or Phone
Twin City Acupuncture Center, Inc. Facility NPI 1659445930

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in St. Paul, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Group Health Plan Inc. 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

Medical School

University Of Minnesota Medical School

Graduation Year

2006

Medicare patients

199 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $66,420 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.

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 $47,316 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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

1,825 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

$61,278 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

20 years (graduated 2006)

CMS Doctors and Clinicians data list 2006 as the year this clinician finished professional 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

2007

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.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Knapp 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Knapp 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Saint Paul and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 60% of clinicians listed under Ophthalmology in Saint Paul, MN (2024, 11 clinicians with data). Median for this group: 561. Middle half: 242 to 2,191.

Fewer Medicare Part B services than 65% of clinicians listed under Ophthalmology in Minnesota (2024, 252 clinicians with data). Median for this group: 1,102. Middle half: 457 to 1,797.

Medicare-allowed amount

Close to the middle for clinicians listed under Ophthalmology in Saint Paul, MN (2024, 11 clinicians with data). Median for this group: $66,420. Middle half: $18,569 to $168,207.

A lower Medicare-allowed amount than 70% 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.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Ophthalmology in Saint Paul, MN (2024, 11 clinicians with data). Median for this group: $46,590. Middle half: $13,851 to $118,273.

A lower Medicare payment amount than 70% 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.

Medicare Part D prescriptions

More Part D prescriptions than 80% of clinicians listed under Ophthalmology in Saint Paul, MN (2024, 11 clinicians with data). Median for this group: 456. Middle half: 286 to 707.

Close to the middle for clinicians listed under Ophthalmology in Minnesota (2024, 274 clinicians with data). Median for this group: 917. Middle half: 326 to 1,879.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Ophthalmology in Saint Paul, MN (2024, 11 clinicians with data). Median for this group: $22,722. Middle half: $14,177 to $47,696.

Close to the middle for clinicians listed under Ophthalmology in Minnesota (2024, 274 clinicians with data). Median for this group: $45,837. Middle half: $11,257 to $132,065.

15 active clinicians are listed under Ophthalmology with a practice address in Saint Paul, MN (434 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Paul

0% of these 15 clinicians have the CMS telehealth indicator.

66.7% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

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

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 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, 2017โ€“2024; 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
92134 Imaging of retina
76 72 $188.00 $38.49
92014 Established patient complete exam of visual system
68 68 $473.00 $122.75
92136 Measurement of corneal curvature and depth of eye
66 46 $187.27 $39.29
92133 Imaging of optic nerve
64 58 $171.00 $34.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
57 52 $478.00 $124.36
66984 Removal of cataract with insertion of prosthetic lens
51 29 $2510.00 $521.35
92083 Exam of visual field with extended testing
48 46 $292.00 $62.89
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
35 31 $62.00 $15.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
30 28 $669.00 $174.00
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
27 26 $338.00 $85.19
92004 New patient complete exam of visual system
18 18 $559.00 $146.74
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
18 14 $120.00 $30.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
15 15 $622.00 $160.50

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.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Latanoprost Latanoprost 312 20,130 $4,914.65 94
Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat 136 9,578 $3,278.97 39
Timolol Maleate Timolol Maleate 108 8,263 $1,398.36 40
Lumigan Bimatoprost 45 2,729 $23,990.36 11
Prednisolone Acetate Prednisolone Acetate 45 1,532 $1,529.97 26
Brimonidine Tartrate Brimonidine Tartrate 44 2,530 $3,072.88 16
Dorzolamide Hcl Dorzolamide Hcl 29 2,775 $587.36 โ€”
Brimonidine Tartrate-Timolol Brimonidine Tartrate/Timolol 25 1,375 $5,730.17 โ€”
Travoprost Travoprost 22 1,137 $3,758.48 โ€”
Simbrinza Brinzolamide/Brimonidine Tart 18 1,106 $5,870.62 โ€”
Bromfenac Sodium Bromfenac Sodium 16 584 $4,089.02 โ€”
Ketorolac Tromethamine Ketorolac Tromethamine 15 673 $348.51 โ€”
Erythromycin Erythromycin Base 13 232 $225.96 โ€”
Dorzolamide-Timolol Dorzolamide/Timolol/Pf 13 370 $1,034.60 โ€”
Tafluprost Tafluprost/Pf 13 390 $1,447.60 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

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

License # reported to NPPES MN 49774

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
35237300 (WI)
Medicaid ID
ENROLLED (IA)
Medicaid ID
494410000 (MN)
Other Identifier Railroad Medicare
P00764023 (MN)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OPHTHALMOLOGY

Medicare Enrollment ID

I20070817000048

Enrollment State Jurisdiction

MN

PECOS Control ID

4981796174

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Group Health Plan Inc

401 Phalen Blvd, Saint Paul, MN 551305302

Phone: 6512547400

Secondary Practice Locations

401 Phalen Blvd - Ms 41102e, Healthpartners Specialty Center 401

St. Paul, MN 551305302

Phone: 6512547500

401 Phalen Blvd - Ms 41102e, Healthpartners Specialty Center 401

St. Paul, MN 551305302

Phone: 6512547500

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Brenda Abraham , MD

Family Medicine - Sports Medicine

NPI 1255302642

Doctor of Medicine (M.D.)

Dr. Elizabeth Alm , MD

Preventive Medicine - Occupational Medicine

NPI 1841518743

Doctor of Medicine (M.D.)

Dr. Gary Anderson , DDS

Dentist - General Practice

NPI 1851482152

Doctor of Dental Surgery

Dr. Darrell Boychuk , DDS, MS

Dentist - Orofacial Pain

NPI 1962698340

Doctor of Dental Surgery, Master of Science

Dr. Derrick Brown , MD

Family Medicine

NPI 1659631372

Doctor of Medicine (M.D.)

Dr. Barbara Butcher , MD

Internal Medicine

NPI 1558333799

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ“
Updated Practice Location May 14, 2019

Registered at 2500 COMO AVE, SAINT PAUL, MN 55108 (Tel: 6516416200)

โœ…
NPI Profile Active December 08, 2011

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) December 08, 2011

Registered at 401 PHALEN BLVD - MS 41102E, HEALTHPARTNERS SPECIALTY CENTER 401, ST. PAUL, MN 551305302 (Tel: 6512547500)

๐Ÿ“
Business Mailing Address (Initial Record) December 08, 2011

Registered at 8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 554254516 (Tel: 9528835375)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) December 08, 2011

Recorded as JOHN KNAPP, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2011

Ophthalmology (license number reported to NPPES: MN 49774)

๐ŸŸข
Initial NPI Registration & Enumeration April 09, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962525501
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2007
Last Update: May 14, 2019
Sole Proprietor: No

Other Ophthalmology Specialists in Saint Paul

All Ophthalmology Specialists in Saint Paul

Mailing Address

8170 33rd Ave S, Ms21110q

Minneapolis, MN 554254516

Phone: 6516416200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.