DR. ANDREW EDWARD DORWART (MD) – Internal Medicine Physician, NPI 1174513659

DR. ANDREW EDWARD DORWART (MD) is a healthcare provider. based in Stillwater, Minnesota. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 41640 (WI). The NPI Number for DR. ANDREW EDWARD DORWART (MD) is 1174513659

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW EDWARD DORWART (MD)
NPI
1174513659
Phone
(651) 439-1234
Address
1500 CURVE CREST BLVD W
Enumeration Date
25 October 2005
Last Update Date
16 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7155316700
Graduation Year
1989 (37 years ago)
PAC ID
3870499221
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20050414000515
Address ID
WI540167848HU411XXRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,638 INTERNAL MEDICINE in MN

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Provider Addresses for DR. ANDREW EDWARD DORWART (MD)

  • Stillwater Clinic, 1500, Curve Crest Boulevard West, Stillwater, Washington County, Minnesota, 55082, United States

    STILLWATER, MN 550826040

    Phone: (651) 439-1234

    Fax: (651) 439-1547

    Type: Mailing

  • 8170 33RD AVE S # MS 21110Q

    MINNEAPOLIS, MN 554254516

    Phone:

    Type: Mailing

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: 2005-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (894 days ago).

Enrollment records

2

Earliest due date

2023-12-31

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
I20050328000076IInternal MedicineMNTBD
I20050414000515IInternal MedicineWI2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
36415Insertion of needle into vein for collection of blood sample343204$0
99214Established patient office or other outpatient visit, 30-39 minutes257175$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit135135$0
99213Established patient office or other outpatient visit, 20-29 minutes116104$0
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito3734$0
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Insurance plans in this area (ZIP 55082)

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Provider's Procedures

DR. ANDREW EDWARD DORWART (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMN45385Removal of polyps or growths of large bowel using an endoscope1111

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: 1759293954View full group profile

Reviews

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Frequently asked questions

What is DR. ANDREW EDWARD DORWART (MD)'s NPI number?
DR. ANDREW EDWARD DORWART (MD)'s NPI is 1174513659 — the number used across U.S. healthcare to identify this provider.
Would DR. ANDREW EDWARD DORWART (MD) appear as active to a payer?
You can treat DR. ANDREW EDWARD DORWART (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. ANDREW EDWARD DORWART (MD)?
At a glance, DR. ANDREW EDWARD DORWART (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. ANDREW EDWARD DORWART (MD) located near Stillwater?
DR. ANDREW EDWARD DORWART (MD) currently maps to Stillwater, Minnesota in this extract.
When was this NPI issued?
Enumeration for DR. ANDREW EDWARD DORWART (MD) is noted as October 25, 2005 where the registry provides it.

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