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Shayna Mellesmoen, OD

NPI 1104503382ActiveIndividual· Optometrist· Bloomington, MN

Optometrist (OD) in Bloomington, Minnesota, trained at Illinois College of Optometry at Chicago (class of 2023). Their prescriptions cost Medicare Part D more than their services did: $22,633 for 150 claims, against $6,475 paid for services in 2024. Glaukos Corporation was the largest of 4 companies reporting payments in 2025, $425.36 in all, mostly food and beverage.

Overview

NPI1104503382
StatusActive
Entity typeIndividual
CredentialOD
Sole proprietorYes
NPI issuedJun 29, 2023
Last updated in NPPESJun 29, 2023
Certified by providerJun 28, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X3883MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Optometry (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients58
Services billed123 across 15 procedure codes
Paid by Medicare$6,475

Part D prescriptions in 2024

Prescriptions (claims)150 · 239 30-day fills
Patients65
Total drug cost$22,633
Generic share61% of claims

Medicare sources and data years

Education and affiliations

Medical schoolIllinois College of Optometry at Chicago
Graduation year2023
Medicare specialtyOptometry

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$425.36 · 5 payments from 4 companies
  • 2024$151.09 · 3 payments from 2 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$425.36 · 5 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other optometrists in Bloomington

All 40 optometrists in Bloomington · All optometrists in Minnesota