JOELLEN KOHLMAN-PETRICK (MD) – Internal Medicine Physician, NPI 1114985454
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MN
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Provider Addresses for JOELLEN KOHLMAN-PETRICK (MD)
Lake Region Healthcare, 712, South Cascade Street, Downtown, Fergus Falls, Otter Tail County, Minnesota, 56537, United States
FERGUS FALLS, MN 565372913
Phone: (218) 736-8000
Fax: (218) 739-6718
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 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2024-04-03 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $18 |
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: 2012-06-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111202000218 | I | Cardiovascular Disease (Cardiology) | ND | TBD |
| I20120614000709 | I | Cardiovascular Disease (Cardiology) | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 2,044 | 1,150 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 642 | 414 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 593 | 527 | $0 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 192 | 76 | $0 |
| 93356 | Heart muscle strain imaging | 186 | 170 | $0 |
Insurance plans in this area (ZIP 56537)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MN | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 62 | 61 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| General Surgery | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| C H I R O P R A C T I C | MN | |
| Physician Assistant | MN | |
| Hematology/Oncology, Internal Medicine | MN | |
| Hospitalist, Internal Medicine | ND |
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