MARK K YAMAGUCHI (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1033313580
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
38 INTERVENTIONAL PAIN MANAGEMENT in MN
Provider Addresses for MARK K YAMAGUCHI (M.D.)
1950 Curve Crest Blvd W
Suite 100
Stillwater, MN 550825078
Phone: (651) 430-3800
Fax: (651) 430-3827
Type: Location
405 Stageline Rd
Hudson, WI 540161793
Phone: (715) 531-6700
Fax: (715) 531-6801
Type: Location
295 Phalen Blvd
Saint Paul, MN 551302400
Phone: (651) 495-6200
Fax: (952) 883-9677
Type: Location
1950, Curve Crest Boulevard West, Stillwater, Washington County, Minnesota, 55082, United States
SUITE 100
STILLWATER, MN 550825078
Phone: (651) 430-3800
Fax: (651) 430-3827
Type: Mailing
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 554254516
Phone:
Type: Mailing
155 RADIO DR
WOODBURY, MN 551252619
Phone: (952) 831-8742
Fax: (952) 977-3459
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $105.
Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.
Last reported payment date: 2023-05-15 • Largest payer in this snapshot: Boston Scientific Corporation ($105).
Total Amount
$105
General + Research + Ownership
Payments
1
Total payment records
General Amount
$105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $105 |
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: 2022-05-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100824001312 | I | Interventional Pain Management | MN | TBD |
| I20220509000546 | I | Interventional Pain Management | WI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 805 | 57 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 98 | 64 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 77 | 71 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 54 | 54 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 43 | 37 | $0 |
Insurance plans in this area (ZIP 55082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| Physical Medicine And Rehabilitation | MN | |
| Orthopedic Surgery | MN | |
| Occupational Therapist In Private Practice | MN | |
| - | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| - | MN |
Reviews
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