DR. BART THEODORE ENDRIZZI (M.D/PH.D.) – MOHS-Micrographic Surgery Physician, NPI 1235323585
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
Provider Addresses for DR. BART THEODORE ENDRIZZI (M.D/PH.D.)
420 DELAWARE ST SE
MINNEAPOLIS, MN 554550341
Phone: (612) 625-8625
Type: Location
Washington Avenue Southeast, Prospect Park - East River Road, Minneapolis, Hennepin County, Minnesota, 55414, United States
UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55414
Phone: (612) 884-0649
Type: Mailing
500 OSBORNE RD NE STE 330
FRIDLEY, MN 554322769
Phone: (763) 571-4000
Type: Location
119 14TH ST NW STE 240
NEW BRIGHTON, MN 551120007
Phone: (763) 571-4000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $424.
Total Amount is formed as General ($424) + Research ($0) + Ownership ($0) = $424.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Janssen Biotech, Inc. ($66).
Total Amount
$424
General + Research + Ownership
Payments
24
Total payment records
General Amount
$424
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $66 |
| ABBVIE INC. | $51 |
| Biofrontera Inc. | $38 |
| Mylan Institutional Inc. | $38 |
| Regeneron Healthcare Solutions, Inc. | $23 |
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: 2009-12-09
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 |
|---|---|---|---|---|
| I20091209000355 | I | Micrographic Dermatologic Surgery (Mds) | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 478 | 351 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 309 | 60 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 228 | 146 | $0 |
| 88331 | Pathology examination of specimen during surgery, first tissue block | 122 | 75 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 116 | 108 | $0 |
Insurance plans in this area (ZIP 55455)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
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