DR. ANDREW ALLEN THORESON (MD) – Vascular & Interventional Radiology Physician, NPI 1144495722

DR. ANDREW ALLEN THORESON (MD) is a healthcare provider. based in Plymouth, Minnesota. specializing in INTERVENTIONAL RADIOLOGY. They hold the professional credentials MD. They hold a License No. 48778 (MN). The NPI Number for DR. ANDREW ALLEN THORESON (MD) is 1144495722

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW ALLEN THORESON (MD)
NPI
1144495722
Phone
(763) 398-2203
Address
2955 XENIUM LANE N
Enumeration Date
24 April 2008
Last Update Date
20 November 2023

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
7633988700
Graduation Year
2004 (22 years ago)
PAC ID
6002988524
Group Practice PAC ID
7315833720
Professional Enrollment ID
I20170515000766
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

178 INTERVENTIONAL RADIOLOGY in MN

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Provider Addresses for DR. ANDREW ALLEN THORESON (MD)

  • 2955, Xenium Lane North, Plymouth, Hennepin County, Minnesota, 55441, United States

    SUITE 40

    PLYMOUTH, MN 554412668

    Phone: (763) 398-2203

    Fax: (763) 398-6533

    Type: Mailing

  • Campus Drive, Plymouth, Hennepin County, Minnesota, 55441, United States

    PLYMOUTH, MN 554412669

    Phone: (763) 559-2171

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $32,470.

Total Amount is formed as General ($32,470) + Research ($0) + Ownership ($0) = $32,470.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: PAVmed Inc. ($29,605).

Total Amount

$32,470

General + Research + Ownership

Payments

25

Total payment records

General Amount

$32,470

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

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: 2023-03-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170515000766IInterventional RadiologyMNTBD
I20230328000215IInterventional RadiologyWITBD

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
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes6359$0
71045X-ray of chest, 1 view4241$0
76937Ultrasonic guidance for blood vessel access4239$0
36902Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist3231$0
71046X-ray of chest, 2 views2020$0
View full utilization report →

Insurance plans in this area (ZIP 55441)

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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: 7315833720View full group profile
NameSpecialtyState
-MN
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Physician AssistantMN
Diagnostic Radiology, Interventional RadiologyMN
Certified Clinical Nurse Specialist (Cns)MN
Diagnostic Radiology, Interventional RadiologyMN
Internal MedicineMN
Diagnostic RadiologyMN
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

Does DR. ANDREW ALLEN THORESON (MD) have a public NPI I can cite?
Public records show DR. ANDREW ALLEN THORESON (MD) under NPI 1144495722.
Is DR. ANDREW ALLEN THORESON (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. ANDREW ALLEN THORESON (MD) as active.
How should patients interpret DR. ANDREW ALLEN THORESON (MD)'s specialty?
The extract shows Vascular & Interventional Radiology Physician for DR. ANDREW ALLEN THORESON (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ANDREW ALLEN THORESON (MD)?
DR. ANDREW ALLEN THORESON (MD) is associated with Plymouth, Minnesota in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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