MR. DANIEL QUINN IV MINTER – Family Medicine Physician, NPI 1144807785
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,866 FAMILY PRACTICE in IN
Provider Addresses for MR. DANIEL QUINN IV MINTER
2930 W CLEVELAND ROAD EXT
SOUTH BEND, IN 466286090
Phone: (574) 335-8450
Fax: (574) 335-0780
Type: Mailing
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 465451468
Phone: (574) 335-6500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $206.
Total Amount is formed as General ($206) + Research ($0) + Ownership ($0) = $206.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: MIMEDX Group, Inc. ($148).
Total Amount
$206
General + Research + Ownership
Payments
4
Total payment records
General Amount
$206
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $148 |
| SANOFI-AVENTIS U.S. LLC | $30 |
| Smith+Nephew, Inc. | $28 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-24
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240924001337 | I | Family Practice | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46628)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Family Practice | IN | |
| Family Practice | IN | |
| Family Practice | IN | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| A N E S T H E S I O L O G Y | IN | |
| Family Practice | IN | |
| Pulmonary Disease, Critical Care (Intensivists) | IN | |
| Family Practice | IN | |
| Family Practice, Sports Medicine | IN |
Reviews
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