SCOTT M JENSEN (MD) – Family Medicine Physician, NPI 1154305662

SCOTT M JENSEN (MD) is a healthcare provider. based in Chaska, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 26965 (MN). The NPI Number for SCOTT M JENSEN (MD) is 1154305662

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT M JENSEN (MD)
NPI
1154305662
Phone
(952) 856-1046
Address
1200 Chaska Creek Way
Enumeration Date
30 November 2005
Last Update Date
2 January 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9529551963
Graduation Year
1981 (45 years ago)
PAC ID
6800709395
Group Practice PAC ID
1052225042
Professional Enrollment ID
I20040113000063
Address ID
MN553884500WA204XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

Provider Addresses for SCOTT M JENSEN (MD)

  • 1200 Chaska Creek Way

    Ste 200

    Chaska, MN 55318

    Phone: (952) 856-1046

    Fax: (952) 856-1049

    Type: Location

  • Lewis Avenue South, White Mobile Home Park, Watertown, Carver County, Minnesota, 55388, United States

    WATERTOWN, MN 553884500

    Phone: (952) 955-1963

    Type: Mailing

  • 204 LEWIS AVE S STE 201

    WATERTOWN, MN 553884502

    Phone: (952) 955-1963

    Fax: (952) 955-1965

    Type: Location

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: 2004-01-13

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
I20040113000063IFamily PracticeMNTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes19793$0
17000Destruction of precancer skin growth, 1 growth17890$0
36415Insertion of needle into vein for collection of blood sample15287$0
99214Established patient office or other outpatient visit, 30-39 minutes12367$0
17003Destruction of precancer skin growth, 2-14 growths11466$0
View full utilization report →

Insurance plans in this area (ZIP 55318)

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Provider's Procedures

SCOTT M JENSEN (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMN17003Destruction of 2-14 skin growths30755
FAMILY MEDICINEMN83036Hemoglobin A1C level3727

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: 1052225042View full group profile
NameSpecialtyState
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
-MN
Orthopedic SurgeryMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Is there an official ID for SCOTT M JENSEN (MD) in U.S. healthcare records?
The official identifier for SCOTT M JENSEN (MD) is NPI 1154305662.
Is SCOTT M JENSEN (MD) still an active registrant?
SCOTT M JENSEN (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for SCOTT M JENSEN (MD)?
At a glance, SCOTT M JENSEN (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is SCOTT M JENSEN (MD) associated with Chaska?
Public fields place SCOTT M JENSEN (MD) around Chaska, Minnesota. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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