Doctor profile · Federal record

Dr. Kylie Jacobsen, OD

Optometrist (CMS: Optometry) · Elk River, MN

  • NPI 1891206819
  • Accepts Medicare
  • 9 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
19576 Holt St Nw
Elk River, MN 553301287
(763) 241-2083
fax (763) 241-2083

Credentials & registration

NPPES · NUCC
NPI registered
October 2017 — 9 yrs on file
Year of graduation
2017 — 9 yrs since
Specialty taxonomy
152W00000X — NUCC code
State license (1)
Minnesota #3537

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1891206819. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
203
Distinct HCPCS
6
Medicare allowed
$17,787
HCPCS Description Services Patients Avg allowed
92014 Established patient complete exam of visual system 54 54 $126
99213 Established patient office or other outpatient visit, 20-29 minutes 51 40 $88
92134 Imaging of retina 33 30 $40
92133 Imaging of optic nerve 26 25 $35
92004 New patient complete exam of visual system 21 21 $149
92083 Exam of visual field with extended testing 18 17 $63

In context: peer comparison

Among 3 peers in this city , average services per provider: 36. This provider delivers 5.6× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$15
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Oyster Point Pharma, Inc. 1 $15.17

By nature of payment

Food and Beverage
$15

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
73
Patients
27
Total drug cost
$1,655
Drug Type Claims Patients Total cost
Latanoprost Generic 25 0 $559
Prednisolone Acetate Generic 23 16 $796
Timolol Maleate Generic 14 0 $157
Neomycin-Polymyxin-Dexameth (Neomycin/Polymyxin B/Dexametha) Brand 11 11 $144

Frequently asked questions

Auto-generated from federal data
What is Dr. Kylie Jacobsen's medical specialty?
Dr. Kylie Jacobsen practices Optometrist in Elk River, MN.
Where does Dr. Kylie Jacobsen practice?
Dr. Kylie Jacobsen practices at 19576 Holt St Nw, Elk River, MN 553301287. Office phone: 7632412083.
What is Dr. Kylie Jacobsen's NPI?
Dr. Kylie Jacobsen's National Provider Identifier (NPI) is 1891206819, issued by NPPES.
Does Dr. Kylie Jacobsen accept Medicare assignment?
Yes. Dr. Kylie Jacobsen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kylie Jacobsen commonly perform?
Top Medicare-reported procedures in 2023: Established patient complete exam of visual system (HCPCS 92014); Established patient office or other outpatient visit (HCPCS 99213); Imaging of retina (HCPCS 92134). Source: CMS Medicare Physician & Other Practitioners file.