MR. ADAM TANNER HERMES (PA-C) – Surgical Physician Assistant, NPI 1104133727

MR. ADAM TANNER HERMES (PA-C) is a healthcare provider. based in Duluth, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 12416 (MN). The NPI Number for MR. ADAM TANNER HERMES (PA-C) is 1104133727

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. ADAM TANNER HERMES (PA-C)
NPI
1104133727
Phone
(218) 722-5513
Address
1000 E 1ST ST STE 400
Enumeration Date
2 September 2010
Last Update Date
23 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2188852858
Graduation Year
2010 (16 years ago)
PAC ID
5395861579
Group Practice PAC ID
8022920024
Professional Enrollment ID
I20170706003017
Address ID
MN557691147NA402XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for MR. ADAM TANNER HERMES (PA-C)

  • 1000 E 1ST ST STE 400

    DULUTH, MN 558052297

    Phone: (218) 722-5513

    Fax: (218) 722-6515

    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 4 Open Payments records for all available years, with a total value of $107.

Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.

Last reported payment date: 2024-03-27 • Largest payer in this snapshot: Stryker Corporation ($52).

Total Amount

$107

General + Research + Ownership

Payments

4

Total payment records

General Amount

$107

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-27

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: 2017-07-06

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
I20170706003017IPhysician AssistantMNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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Provider's Procedures

MR. ADAM TANNER HERMES (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTWA20610Aspiration and/or injection of large joint or joint capsule4520

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: 8022920024View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MR. ADAM TANNER HERMES (PA-C)?
The federal identifier for MR. ADAM TANNER HERMES (PA-C) is NPI 1104133727.
Is MR. ADAM TANNER HERMES (PA-C) currently active in the NPI registry?
CMS-published data lists MR. ADAM TANNER HERMES (PA-C) as an active registrant.
What kind of provider is MR. ADAM TANNER HERMES (PA-C)?
The page reflects Surgical Physician Assistant for MR. ADAM TANNER HERMES (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place MR. ADAM TANNER HERMES (PA-C)?
The snapshot lists Duluth, Minnesota for MR. ADAM TANNER HERMES (PA-C); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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