DR. KEVIN P RIESS (MD) – Surgery Physician, NPI 1083871586

DR. KEVIN P RIESS (MD) is a healthcare provider. based in Virginia, Minnesota. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 47680-20 (WI). The NPI Number for DR. KEVIN P RIESS (MD) is 1083871586

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN P RIESS (MD)
NPI
1083871586
Phone
(218) 741-0150
Address
1101 9TH STREET NORTH
Enumeration Date
21 May 2008
Last Update Date
10 May 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA, DULUTH SCHOOL OF MEDICINE
Secondary Phone
2182293311
Graduation Year
2003 (23 years ago)
PAC ID
2668548942
Group Practice PAC ID
3870565641
Professional Enrollment ID
I20080910000559
Address ID
MN557051522AU5211X110X300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

730 GENERAL SURGERY in MN

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Provider Addresses for DR. KEVIN P RIESS (MD)

  • 1101, 9th Street North, Virginia, Saint Louis County, Minnesota, 55792, United States

    VIRGINIA, MN 55792

    Phone: (218) 741-0150

    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)

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: 2008-09-10

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
I20080910000559IGeneral SurgeryMNTBD

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 minutes1513$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 55792)

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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: 3870565641View full group profile
NameSpecialtyState
Nurse PractitionerMN
Hospitalist, Internal MedicineSD
Family PracticeMN
-MN
-MN
Physician AssistantMN
Nurse PractitionerMN
Nurse PractitionerMN
H O S P I T A L I S TMN
Internal Medicine, Hospitalist, HospitalistMN

Reviews

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Frequently asked questions

Can I cross-check DR. KEVIN P RIESS (MD) using NPI 1083871586?
NPI 1083871586 belongs to DR. KEVIN P RIESS (MD); compare other details if you need extra assurance.
Would DR. KEVIN P RIESS (MD) appear as active to a payer?
You can treat DR. KEVIN P RIESS (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. KEVIN P RIESS (MD)?
DR. KEVIN P RIESS (MD)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KEVIN P RIESS (MD)?
Directory geography for DR. KEVIN P RIESS (MD) centers on Virginia, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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