DAVID PONTIUS (PA-C) – Physician Assistant, NPI 1194426254
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for DAVID PONTIUS (PA-C)
11020 161st Street West
Lakeville, MN 55044
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Location
3590 Arcade St
Vadnais Heights, MN 551277135
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Location
3460 Promenade Ave
Eagan, MN 551234404
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Location
2651 Hillcrest Dr Ste 302
Hudson, WI 540169919
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Location
215 RADIO DR STE 202
WOODBURY, MN 551255822
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Mailing
217 RADIO DR
WOODBURY, MN 551255805
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-03-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241219000817 | I | Physician Assistant | MN | TBD |
| I20250306002481 | I | Physician Assistant | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55044)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | MN | |
| Otolaryngology, Plastic And Reconstructive Surgery | MN | |
| O T O L A R Y N G O L O G Y | MN | |
| O T O L A R Y N G O L O G Y | MN | |
| Physician Assistant | MN | |
| Qualified Audiologist | MN | |
| Qualified Audiologist | MN | |
| Qualified Audiologist | MN | |
| Nurse Practitioner | WI | |
| Internal Medicine, Allergy/Immunology | MN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.