ANDREW MOEN (D.P.M.) – Podiatrist, NPI 1073843587
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
232 PODIATRY in MN
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Provider Addresses for ANDREW MOEN (D.P.M.)
Essentia Health Saint Mary's - Detroit Lakes, 1027, Washington Avenue, Detroit Lakes, Becker County, Minnesota, 56501, United States
DETROIT LAKES, MN 565013409
Phone: (218) 847-5611
Fax: (218) 847-0881
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $74.
Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.
Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Stryker Corporation ($74).
Total Amount
$74
General + Research + Ownership
Payments
2
Total payment records
General Amount
$74
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $74 |
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: 2011-07-13
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 |
|---|---|---|---|---|
| I20110713000546 | I | Podiatry | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 66 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 47 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 44 | 37 | $0 |
Insurance plans in this area (ZIP 56501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | ND | |
| Family Practice | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Family Practice | ND | |
| Family Practice, Emergency Medicine | MN | |
| Nurse Practitioner | WI | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | MN | |
| O P T O M E T R Y | MN |
Reviews
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