ADAM ROBERT HETZ (PAC) – Physician Assistant, NPI 1205107422
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for ADAM ROBERT HETZ (PAC)
4725 36TH AVE N
CRYSTAL, MN 554222169
Phone: (763) 231-8710
Fax: (763) 231-8711
Type: Mailing
820 SPRINGER DR
LOMBARD, IL 601486413
Phone: (815) 744-8554
Type: Mailing
10705 TOWN SQUARE DR NE STE 210
BLAINE, MN 554498187
Phone: (763) 231-8700
Fax: (763) 427-8131
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 196 Open Payments records for all available years, with a total value of $72,835.
Total Amount is formed as General ($72,835) + Research ($0) + Ownership ($0) = $72,835.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Biotech, Inc. ($26,522).
Total Amount
$72,835
General + Research + Ownership
Payments
196
Total payment records
General Amount
$72,835
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $26,522 |
| UCB, Inc. | $20,962 |
| GENZYME CORPORATION | $12,063 |
| Arcutis Biotherapeutics, Inc. | $4,180 |
| Regeneron Healthcare Solutions, Inc. | $3,537 |
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: 2012-03-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120303000010 | I | Physician Assistant | 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.
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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 251 | 59 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 149 | 117 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 99 | 86 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 72 | 53 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 48 | 46 | $0 |
Insurance plans in this area (ZIP 55422)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Physician Assistant | AZ | |
| Dermatology, Dermatology, Pathology | VA | |
| Nurse Practitioner | AZ | |
| Physician Assistant | MN | |
| Nurse Practitioner | MI | |
| D E R M A T O L O G Y | AZ | |
| Physician Assistant | TX | |
| Physician Assistant | MN | |
| - | IN |
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