Courtney Ray Sivertson, O.D.
NPI 1114948734ActiveIndividual· Optometrist· Rochester, MN
Optometrist (O.D.) in Rochester, Minnesota, trained at Illinois College of Optometry at Chicago (class of 2006). In 2024 Medicare paid $22,104 for 212 patients, and Part D covered 313 of their prescriptions, 84% of them generic. Alcon Vision LLC was the largest of 2 companies reporting payments in 2025, $113.40 in all, mostly food and beverage.
Overview
| NPI | 1114948734 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Jul 21, 2006 |
| Last updated in NPPES | Jul 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3070 | MN |
| Optometrist | 152W00000X | 6246453-9934 | UT |
| Optometrist, Corneal and Contact Management | 152WC0802X | 3070 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 212 |
|---|---|
| Services billed | 398 across 11 procedure codes |
| Paid by Medicare | $22,104 |
Part D prescriptions in 2024
| Prescriptions (claims) | 313 · 669 30-day fills |
|---|---|
| Patients | 94 |
| Total drug cost | $31,554 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | Illinois College of Optometry at Chicago |
|---|---|
| Graduation year | 2006 |
| Medicare specialty | Optometry |
Medical group
- Lifetime Eye Care of Rochester IncRochester, MN · 6 clinicians
Industry payments (Open Payments)
- 2025$113.40 · 3 payments from 2 companies
- 2024$105.77 · 4 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $68.29 | 1 |
| Coopervision Inc. | $45.11 | 2 |
What the 2025 payments were for
- Food and Beverage$113.40 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 56 optometrists in Rochester · All optometrists in Minnesota