TANNER JESUS VERDUZCO – Physician Assistant, NPI 1073276259
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for TANNER JESUS VERDUZCO
7235 Ohms Ln
Edina, MN 554392148
Phone: (952) 841-2345
Fax: (952) 841-2346
Type: Location
22900 SWEENEY LN
LAKEVILLE, MN 550444463
Phone: (612) 366-4806
Type: Mailing
7235 OHMS LN
EDINA, MN 554392148
Phone: (952) 841-2345
Fax: (952) 841-2346
Type: Mailing
12000 ELM CREEK BLVD N STE 300
MAPLE GROVE, MN 553697075
Phone: (952) 841-2345
Fax: (952) 841-2346
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $4,187.
Total Amount is formed as General ($4,187) + Research ($0) + Ownership ($0) = $4,187.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Medtronic, Inc. ($2,656).
Total Amount
$4,187
General + Research + Ownership
Payments
49
Total payment records
General Amount
$4,187
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,656 |
| Boston Scientific Corporation | $1,127 |
| Abbott Laboratories | $171 |
| SPR Therapeutics, Inc | $135 |
| Vertos Medical, Inc. | $64 |
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: 2023-05-08
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 |
|---|---|---|---|---|
| I20230508000958 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 166 | 105 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 33 | 32 | $0 |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 20 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 55439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management, Psychiatry | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | FL | |
| Physical Medicine And Rehabilitation, Interventional Pain Management, Pain Management | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| Physical Medicine And Rehabilitation, Pain Management | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN |
Reviews
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