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Brian Dwight Grudem, O.D.

NPI 1194717298ActiveIndividual· Optometrist· White Bear Lake, MN

Optometrist (O.D.) in White Bear Lake, Minnesota, trained at Pacific University - College of Optometry (class of 1979). In 2024 Medicare paid $11,256 for 111 patients, and Part D covered 125 of their prescriptions, 74% of them generic. Alcon Vision LLC was the largest of 3 companies reporting payments in 2025, $308.78 in all, mostly food and beverage.

Overview

NPI1194717298
StatusActive
Entity typeIndividual
CredentialO.D.
Sole proprietorNo
NPI issuedAug 16, 2005
Last updated in NPPESJul 13, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000XLD1732000MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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 patients111
Services billed1,300 across 13 procedure codes
Paid by Medicare$11,256

Part D prescriptions in 2024

Prescriptions (claims)125 · 208 30-day fills
Patients42
Total drug cost$5,446
Generic share74% of claims

Medicare sources and data years

Education and affiliations

Medical schoolPacific University - College of Optometry
Graduation year1979
Medicare specialtyOptometry

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$308.78 · 6 payments from 3 companies
  • 2024$150.06 · 4 payments from 3 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$308.78 · 6 payments

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

Other Optometrist providers in White Bear Lake

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