BRYAN P PUCIK (MD) – Family Medicine Physician, NPI 1073592077

BRYAN P PUCIK (MD) is a healthcare provider. based in Mankato, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 53516 (WI). The NPI Number for BRYAN P PUCIK (MD) is 1073592077

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN P PUCIK (MD)
NPI
1073592077
Phone
(507) 625-1811
Address
1230 E. MAIN STREET
Enumeration Date
10 January 2006
Last Update Date
15 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
5075243315
Graduation Year
1993 (33 years ago)
PAC ID
7810939949
Group Practice PAC ID
5597677955
Professional Enrollment ID
I20050527000604
Address ID
MN560659744MA301XXSWXX400
Telehealth
Yes

Contacts

Secure Messaging
bryanpucik@mklt.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

3,076 FAMILY PRACTICE in MN

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Provider Addresses for BRYAN P PUCIK (MD)

  • Mankato Clinic, 1230, East Main Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO CLINIC @ MAIN STREET

    MANKATO, MN 560028674

    Phone: (507) 625-1811

    Type: Location

  • PO BOX 8674 1230 E. MAIN STREET

    MANKATO CLINIC, LTD

    MANKATO, MN 560028674

    Phone: (507) 625-1811

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $222.

Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Radius Health, Inc. ($48).

Total Amount

$222

General + Research + Ownership

Payments

13

Total payment records

General Amount

$222

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

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: 2005-05-27

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
I20050527000604IFamily 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 minutes506288$0
36415Insertion of needle into vein for collection of blood sample356231$0
80053Blood test, comprehensive group of blood chemicals264209$0
85610Blood test, clotting time24630$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit193193$0
View full utilization report →

Insurance plans in this area (ZIP 56002)

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Provider's Procedures

BRYAN P PUCIK (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMN83036Hemoglobin A1C level9257
FAMILY MEDICINEMN90670Pneumococcal vaccine for injection into muscle1515

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: 5597677955View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Cardiovascular Disease (Cardiology), Internal MedicineMN
-MN
P S Y C H I A T R YMN
-MN
-MN
Diagnostic Radiology, Internal MedicineMN
Physician AssistantMN
Physician AssistantMN
Physician AssistantMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRYAN P PUCIK (MD)?
BRYAN P PUCIK (MD) — NPI 1073592077 — is the standard way to identify this listing.
Is BRYAN P PUCIK (MD) still practicing?
BRYAN P PUCIK (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes BRYAN P PUCIK (MD)?
For research purposes, treat BRYAN P PUCIK (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect BRYAN P PUCIK (MD) on a map?
Expect Mankato, Minnesota as a primary anchor for BRYAN P PUCIK (MD) unless the record lists multiple sites.
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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