COREY J STENNES (MD) – Surgery Physician, NPI 1164695581

Surgery Physician

COREY J STENNES (MD) is a healthcare provider. based in Crystal, Minnesota. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 56234 (MN). The NPI Number for COREY J STENNES (MD) is 1164695581

Main info

Male

18 Years Of Experience

Accepts Medicare Assignment

Name

COREY J STENNES (MD)

NPI

1164695581

Phone

(763) 780-6699

Address

5700 Bottineau Blvd Ste 100

Enumeration Date

7 April 2008

Last Update Date

18 November 2019

Doctor Profile

Medical School Name

SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

6514303800

Graduation Year

2008 (18 years ago)

PAC ID

5193961092

Group Practice PAC ID

0042123028

Professional Enrollment ID

I20130717000280

Address ID

MN554497439BL4181XNEXX400

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience50

Completeness75

Years active:18State licenses:1Digital endpointsOther names

730 GENERAL SURGERY in MN

Provider Addresses for COREY J STENNES (MD)

5700 Bottineau Blvd Ste 100
Crystal, MN 554293184
Phone: (763) 780-6699
Fax: (763) 420-0500
Type: Location
2600 39th Ave NE
Minneapolis, MN 554214379
Phone: (763) 780-6699
Fax: (763) 420-0500
Type: Location
1700 Highway 25 N Ste 120
Buffalo, MN 553131930
Phone: (763) 780-6699
Fax: (763) 420-0500
Type: Location
11855 Ulysses St NE Ste 210
Blaine, MN 554344181
Phone: (763) 780-6699
Fax: (763) 420-0500
Type: Location
3366 Oakdale Ave N Ste 200
Minneapolis, MN 554222962
Phone: (763) 780-6699
Fax: (763) 420-0500
Type: Location
480 Osborne Rd NE Ste 100
Fridley, MN 554322781
Phone: (763) 780-6699
Fax: (763) 420-0500
Type: Location
1495 County Road 101 N
Plymouth, MN 554473078
Phone: (763) 780-6699
Fax: (763) 420-0500
Type: Location
15450 Highway 7 Ste 225
Minnetonka, MN 553453522
Phone: (763) 780-6699
Fax: (763) 420-0500
Type: Location
303 Catlin St
Buffalo, MN 553131947
Phone: (763) 684-6160
Type: Location
7600 France Ave S Ste 4100
Edina, MN 554356027
Phone: (763) 780-6699
Fax: (763) 420-0500
Type: Location
6565 France Ave S Ste 350
Edina, MN 554352159
Phone: (763) 780-6699
Fax: (763) 420-0500
Type: Location
7373 France Ave S Ste 408
Edina, MN 554354549
Phone: (763) 780-6699
Fax: (763) 420-0500
Type: Location
9825, Hospital Drive, The Grove, Maple Grove, Hennepin County, Minnesota, 55369, United States
SUITE 105
MAPLE GROVE, MN 553694479
Phone: (763) 780-6699
Type: Mailing
Hospital Drive, The Grove, Maple Grove, Hennepin County, Minnesota, 55311, United States
MAPLE GROVE, MN 553694769
Phone: (763) 780-6699
Fax: (763) 420-0500
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: 2013-07-17

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

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
I20130717000280	I	General Surgery	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99204	New patient office or other outpatient visit, 45-59 minutes	33	33	$0
47562	Removal of gallbladder using an endoscope	14	14	$0

View full utilization report →

Insurance plans in this area (ZIP 55429)

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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: 0042123028View full group profile

Name	Specialty	State
JAMES PIPER (PA-C)	Physician Assistant	MN
TROY DEAN LONG (MD)	-	MN
DR. NAYERA RAFIK ATTALLA GUIRGUIS (M.D.)	-	KY
GEORGE LEIGHTON SATTERFIELD (M.D.)	Internal Medicine	MN
KEVIN BRENT BAILEY (MD)	-	MN
ETHAN MICHAEL FRUECHTE (M.D.)	Cardiovascular Disease (Cardiology)	MN
JENNIFER ROSE PAGE (PA-C)	-	WI
ARVIND VEMULA (MD)	Medical Oncology, Hematology	MN
JEFFREY MIDDENDORF	Certified Registered Nurse Anesthetist (Crna)	MN
MICHAEL FINN (MD)	N E U R O S U R G E R Y	CO