MARK S LANTZ (MD) – Anesthesiology Physician, NPI 1063466936
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
969 ANESTHESIOLOGY in MN
Provider Addresses for MARK S LANTZ (MD)
14700 28TH AVE N STE 20
PLYMOUTH, MN 554474876
Phone: (763) 559-3779
Fax: (763) 450-3986
Type: Location
14700, 28th Avenue North, Plymouth, Hennepin County, Minnesota, 55447, United States
SUITE 20
PLYMOUTH, MN 554474835
Phone: (763) 559-3779
Fax: (763) 450-3986
Type: Mailing
North Memorial Medical Center, 3300, Oakdale Avenue North, Robbinsdale, Hennepin County, Minnesota, 55422, United States
ROBBINSDALE, MN 554222926
Phone: (763) 520-5370
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-12-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051202000606 | I | Anesthesiology | MN | 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 |
|---|---|---|---|---|
| 01402 | Anesthesia for procedure for total knee joint replacement | 32 | 32 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 25 | 25 | $0 |
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 25 | 24 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 19 | 19 | $0 |
| 00142 | Anesthesia for lens surgery | 17 | 16 | $0 |
Insurance plans in this area (ZIP 55447)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| A N E S T H E S I O L O G Y | MN | |
| - | MN |
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