DR. CORY J INGRAM (MD) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1104887504

DR. CORY J INGRAM (MD) is a healthcare provider. based in North mankato, Minnesota. specializing in HOSPICE/PALLIATIVE CARE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 016883 (ME). The NPI Number for DR. CORY J INGRAM (MD) is 1104887504

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. CORY J INGRAM (MD)
NPI
1104887504
Phone
(507) 387-8231
Address
1695 Lor Ray Drive
Enumeration Date
28 March 2006
Last Update Date
14 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072842511
Graduation Year
2000 (26 years ago)
PAC ID
2062427370
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20060801000216
Address ID
MN559050001RO200XXSWXX400
Telehealth
Yes

Contacts

Secure Messaging
cingram53193@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience92
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

115 HOSPICE/PALLIATIVE CARE in MN

Provider Addresses for DR. CORY J INGRAM (MD)

  • 1695 Lor Ray Drive

    ISJ-Mayo Northridge

    North Mankato, MN 56003

    Phone: (507) 387-8231

    Type: Location

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Fax: (507) 422-0985

    Type: Mailing

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: 2006-08-01

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
I20060801000216IHospice/Palliative CareMNTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7240$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 56003)

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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: 6507778255View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is DR. CORY J INGRAM (MD) listed with a National Provider Identifier?
Yes — DR. CORY J INGRAM (MD) has NPI 1104887504 on file in the registry.
Would DR. CORY J INGRAM (MD) appear as active to a payer?
You can treat DR. CORY J INGRAM (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. CORY J INGRAM (MD)?
DR. CORY J INGRAM (MD)'s record emphasizes Hospice and Palliative Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. CORY J INGRAM (MD)?
Travel planning: use North Mankato, Minnesota as the reference point for DR. CORY J INGRAM (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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