FREDERICK W ENDORF (MD) – Surgery Physician, NPI 1063529881

FREDERICK W ENDORF (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 50634 (MN). The NPI Number for FREDERICK W ENDORF (MD) is 1063529881

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
FREDERICK W ENDORF (MD)
NPI
1063529881
Phone
(612) 873-5479
Address
701 PARK AVE # O9
Enumeration Date
25 August 2006
Last Update Date
4 February 2025

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7208480000
Graduation Year
2001 (25 years ago)
PAC ID
5698872331
Group Practice PAC ID
3476465667
Professional Enrollment ID
I20240626000697
Address ID
CO800452545AU12605AVEX413
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

756 GENERAL SURGERY in CO

Provider Addresses for FREDERICK W ENDORF (MD)

  • Park Avenue, Downtown East, Central, Minneapolis, Hennepin County, Minnesota, 55415, United States

    MINNEAPOLIS, MN 554151623

    Phone: (612) 873-5479

    Fax: (612) 904-4245

    Type: Mailing

  • PO BOX 110429

    AURORA, CO 800420429

    Phone:

    Type: Mailing

  • 12605 E 16TH AVE

    AURORA, CO 800452545

    Phone: (720) 848-0000

    Type: Location

  • South 8th Street, Phillips, Minneapolis, Hennepin County, Minnesota, 55415-1226, United States

    MINNEAPOLIS, MN 554041210

    Phone: (612) 873-6963

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $351.

Total Amount is formed as General ($351) + Research ($0) + Ownership ($0) = $351.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Avita Medical Americas, Llc ($185).

Total Amount

$351

General + Research + Ownership

Payments

3

Total payment records

General Amount

$351

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-06-26

PECOS data refreshed: 2026-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081017000658IGeneral SurgeryMNTBD
I20240626000697IGeneral SurgeryCOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9045$0
99291Critical care, first 30-74 minutes4319$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 55415)

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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: 3476465667View full group profile
NameSpecialtyState
-CO
Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
Emergency MedicineCO
-CO
-CO
-CO
-CO
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YCO
A N E S T H E S I O L O G YIL

Reviews

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Frequently asked questions

How do payers reference FREDERICK W ENDORF (MD)?
For FREDERICK W ENDORF (MD), use NPI 1063529881 as the unique 10-digit identifier.
Active or inactive — what applies to FREDERICK W ENDORF (MD)?
You should see FREDERICK W ENDORF (MD) as active in CMS-hosted NPPES data.
What kind of doctor is FREDERICK W ENDORF (MD)?
FREDERICK W ENDORF (MD) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Minnesota is FREDERICK W ENDORF (MD) registered?
Use Minneapolis, Minnesota as the headline location for FREDERICK W ENDORF (MD) here.
Can I trust this NPI listing for FREDERICK W ENDORF (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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