MICHAEL SYMANIETZ (MD) – Family Medicine Physician, NPI 1063909174

MICHAEL SYMANIETZ (MD) is a healthcare provider. based in Saint cloud, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 66976 (MN). The NPI Number for MICHAEL SYMANIETZ (MD) is 1063909174

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL SYMANIETZ (MD)
NPI
1063909174
Phone
(320) 240-3157
Address
1555 NORTHWAY DR STE 200
Enumeration Date
16 April 2018
Last Update Date
21 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
5072883443
Graduation Year
2018 (8 years ago)
PAC ID
5092062786
Group Practice PAC ID
8527970060
Professional Enrollment ID
I20210722002479
Address ID
MN559046425RO210XXSEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

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Provider Addresses for MICHAEL SYMANIETZ (MD)

  • Northway Drive, St. Cloud, Stearns County, Minnesota, 56303, United States

    SAINT CLOUD, MN 563034913

    Phone: (320) 240-3157

    Type: Location

  • 210 9TH ST SE

    ROCHESTER, MN 559046400

    Phone: (507) 288-3443

    Fax: (507) 287-2740

    Type: Mailing

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: 2021-07-22

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
I20210722002479IFamily PracticeMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes189135$0
99213Established patient office or other outpatient visit, 20-29 minutes7458$0
99215Established patient office or other outpatient visit, 40-54 minutes3029$0
View full utilization report →

Insurance plans in this area (ZIP 56303)

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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: 8527970060View full group profile
NameSpecialtyState
Emergency MedicineMN
Nurse PractitionerMN
Family PracticeMN
Family PracticeMN
O B S T E T R I C S/ G Y N E C O L O G YMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
P A T H O L O G YMN
Physical Therapist In Private PracticeMN
D E R M A T O L O G YTN

Reviews

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Frequently asked questions

What is the 10-digit NPI for MICHAEL SYMANIETZ (MD)?
MICHAEL SYMANIETZ (MD) — NPI 1063909174 — is the standard way to identify this listing.
Is MICHAEL SYMANIETZ (MD) still practicing?
MICHAEL SYMANIETZ (MD) is currently listed as active in the public NPI registry.
What is MICHAEL SYMANIETZ (MD)'s specialty?
The listing groups MICHAEL SYMANIETZ (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MICHAEL SYMANIETZ (MD) based?
MICHAEL SYMANIETZ (MD) is tied to Saint Cloud, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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