DR. KATIE S LEWANDOWSKI (DO) – Surgery Physician, NPI 1053768671

DR. KATIE S LEWANDOWSKI (DO) is a healthcare provider. based in Sartell, Minnesota. specializing in GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. 72300 (MN). The NPI Number for DR. KATIE S LEWANDOWSKI (DO) is 1053768671

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATIE S LEWANDOWSKI (DO)
NPI
1053768671
Phone
(320) 293-4338
Address
1139 OAK POND DR
Enumeration Date
24 May 2016
Last Update Date
6 September 2022

Doctor Profile

Medical School Name
ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
2187410150
Graduation Year
2016 (10 years ago)
PAC ID
2961887476
Group Practice PAC ID
2567374283
Professional Enrollment ID
I20220920002249
Address ID
MN557922329VI1101XNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

730 GENERAL SURGERY in MN

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Provider Addresses for DR. KATIE S LEWANDOWSKI (DO)

  • 1139, Oak Pond Drive, Sartell, Benton County, Minnesota, 56377, United States

    SARTELL, MN 563774631

    Phone: (320) 293-4338

    Type: Mailing

  • 1101 9TH ST N

    VIRGINIA, MN 557922329

    Phone: (218) 741-0150

    Type: Location

  • 400 E 3RD ST

    DULUTH, MN 558051951

    Phone: (218) 786-8364

    Type: Mailing

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 $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Smith+Nephew, Inc. ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$29
View all Open Payments →|Open Payments Risk Radar →

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: 2022-09-20

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220920002249IGeneral SurgeryMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2322$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
45380Biopsy of large bowel using a flexible endoscope2119$0
99214Established patient office or other outpatient visit, 30-39 minutes1917$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare1715$0
View full utilization report →

Insurance plans in this area (ZIP 56377)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567374283View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
-ND
Physician AssistantMN
Nurse PractitionerSD
-MN
Qualified AudiologistMN
-MN
-MN
P A T H O L O G YWV
Family PracticeMN

Reviews

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Frequently asked questions

What is the standard ID for DR. KATIE S LEWANDOWSKI (DO) in the U.S.?
In the U.S., DR. KATIE S LEWANDOWSKI (DO) is identified by NPI 1053768671.
Should I treat DR. KATIE S LEWANDOWSKI (DO) as an active provider?
Patients and plans typically see DR. KATIE S LEWANDOWSKI (DO) as active in the national extract.
How should patients interpret DR. KATIE S LEWANDOWSKI (DO)'s specialty?
The extract shows Surgery Physician for DR. KATIE S LEWANDOWSKI (DO). Clinical services aligned with this taxonomy classification.
Is DR. KATIE S LEWANDOWSKI (DO) tied to Sartell, Minnesota?
If you are local to Sartell, Minnesota, DR. KATIE S LEWANDOWSKI (DO) may be relevant to your search.
Can I export DR. KATIE S LEWANDOWSKI (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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