DENISE J LONG (MD) – Family Medicine Physician, NPI 1124039177
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
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Provider Addresses for DENISE J LONG (MD)
2025 SLOAN PL STE 35
SAINT PAUL, MN 551172092
Phone: (651) 772-1572
Fax: (651) 772-1889
Type: Mailing
1540, Randolph Avenue, Saint Paul, Ramsey County, Minnesota, 55105, United States
SAINT PAUL, MN 551052535
Phone: (651) 699-8333
Fax: (651) 699-9257
Type: Location
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 $179.
Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.
Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($179).
Total Amount
$179
General + Research + Ownership
Payments
1
Total payment records
General Amount
$179
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $179 |
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: 2006-04-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060424000533 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 252 | 125 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 236 | 149 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 113 | 113 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 110 | 78 | $0 |
| 83036 | Hemoglobin a1c level | 69 | 29 | $0 |
Insurance plans in this area (ZIP 55117)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Physician Assistant | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Family Practice | MN |
Reviews
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