LAUREN B O'NEILL (MD) – Dermatology Physician, NPI 1205128592

LAUREN B O'NEILL (MD) is a healthcare provider. based in Maple grove, Minnesota. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 56483 (MN). The NPI Number for LAUREN B O'NEILL (MD) is 1205128592

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN B O'NEILL (MD)
NPI
1205128592
Phone
(952) 993-1440
Address
9555 UPLAND LN N
Enumeration Date
5 May 2011
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9529933123
Graduation Year
2011 (15 years ago)
PAC ID
1456656370
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20171003003952
Address ID
MN554162527ST3850XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

822 OBSTETRICS/GYNECOLOGY in MN

Provider Addresses for LAUREN B O'NEILL (MD)

  • 9555 UPLAND LN N

    MAPLE GROVE, MN 553694485

    Phone: (952) 993-1440

    Type: Mailing

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 2450 Riverside Ave

    Minneapolis, MN 554541450

    Phone: (612) 624-3113

    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: 2017-10-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171003003952IObstetrics/GynecologyMNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes172147$0
99214Established patient office or other outpatient visit, 30-39 minutes170139$0
17003Destruction of precancer skin growth, 2-14 growths14554$0
17000Destruction of precancer skin growth, 1 growth10794$0
17110Destruction of skin growth, 1-14 growths7065$0
View full utilization report →

Insurance plans in this area (ZIP 55369)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

Can I use this page to confirm LAUREN B O'NEILL (MD)'s NPI?
Yes. LAUREN B O'NEILL (MD) is listed with NPI 1205128592 in the public NPI dataset.
Does CMS list LAUREN B O'NEILL (MD) as active?
Yes — LAUREN B O'NEILL (MD) is active in the NPI listing used on this page.
What healthcare role does LAUREN B O'NEILL (MD) hold?
Scheduling teams often label LAUREN B O'NEILL (MD) under Dermatology Physician. Clinical services aligned with this taxonomy classification.
What area does LAUREN B O'NEILL (MD) serve?
LAUREN B O'NEILL (MD)'s listing highlights Maple Grove, Minnesota; more addresses can appear in NPPES.
Is the information about LAUREN B O'NEILL (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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