FREDERICK W ENDORF (MD) – Surgery Physician, NPI 1063529881
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Avita Medical Americas, Llc | $185 |
| PolyNovo North America LLC | $166 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081017000658 | I | General Surgery | MN | TBD |
| I20240626000697 | I | General Surgery | CO | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 90 | 45 | $0 |
| 99291 | Critical care, first 30-74 minutes | 43 | 19 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 55415)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | CO | |
| Emergency Medicine | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | CO | |
| A N E S T H E S I O L O G Y | IL |
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