ANDREW R SCHOCK (P.A.) – Surgical Physician Assistant, NPI 1083641195

ANDREW R SCHOCK (P.A.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 10139 (MN). The NPI Number for ANDREW R SCHOCK (P.A.) is 1083641195

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW R SCHOCK (P.A.)
NPI
1083641195
Phone
(763) 267-8701
Address
1415 LILAC DR N
Enumeration Date
26 June 2006
Last Update Date
11 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6053942118
Graduation Year
2006 (20 years ago)
PAC ID
0042213084
Group Practice PAC ID
4082027867
Professional Enrollment ID
I20210222000867
Address ID
SD577456057HI135XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

639 PHYSICIAN ASSISTANT in SD

Provider Addresses for ANDREW R SCHOCK (P.A.)

  • 1415 LILAC DR N

    STE 190

    MINNEAPOLIS, MN 554224544

    Phone: (763) 267-8701

    Fax: (763) 427-4643

    Type: Mailing

  • 118 PONDEROSA AVE

    HILL CITY, SD 577456058

    Phone:

    Type: Mailing

  • Allina Health Mercy Pharmacy, 11850, Blackfoot Street Northwest, Coon Rapids, Anoka County, Minnesota, 55433, United States

    SUITE 490

    COON RAPIDS, MN 554332578

    Phone: (763) 427-1137

    Type: Location

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: 2021-02-22

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060814000129IPhysician AssistantMNTBD
I20210222000867IPhysician AssistantSDTBD

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
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes936177$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes817194$0
99497Advance care planning, first 30 minutes155120$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8888$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 55422)

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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: 4082027867View full group profile
NameSpecialtyState
Physician AssistantSD
Physician AssistantSD

Reviews

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Frequently asked questions

What number should I use to identify ANDREW R SCHOCK (P.A.) for billing?
Administrative and clinical systems typically use NPI 1083641195 for ANDREW R SCHOCK (P.A.).
Quick check: is ANDREW R SCHOCK (P.A.) active?
Public NPPES data shows ANDREW R SCHOCK (P.A.) with an active NPI status right now.
What services align with ANDREW R SCHOCK (P.A.)'s listing?
ANDREW R SCHOCK (P.A.)'s public classification highlights Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to ANDREW R SCHOCK (P.A.)?
The directory associates ANDREW R SCHOCK (P.A.) with Minneapolis, Minnesota. Check all listed addresses for suites or satellite offices.
Why is information missing for ANDREW R SCHOCK (P.A.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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