MICHAEL T SEMOTUK (M.D) – Diagnostic Radiology Physician, NPI 1245218056
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
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Provider Addresses for MICHAEL T SEMOTUK (M.D)
East Superior Street, Lester Park, Duluth, Saint Louis County, Minnesota, 55804, United States
SUITE 109
DULUTH, MN 558022238
Phone: (218) 722-3700
Fax: (218) 722-8705
Type: Mailing
23 W CENTRAL ENTRANCE # 160
DULUTH, MN 558113433
Phone: (218) 722-3700
Fax: (218) 722-8705
Type: Mailing
750 E 34TH ST
HIBBING, MN 557462341
Phone: (218) 262-4881
Fax: (218) 362-6699
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: 2004-01-26
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 |
|---|---|---|---|---|
| I20040126000685 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 502 | 502 | $0 |
| 77063 | Screening 3d breast mammography | 463 | 463 | $0 |
| 76376 | 3d radiographic procedure | 430 | 399 | $0 |
| 71045 | X-ray of chest, 1 view | 390 | 344 | $0 |
| 71046 | X-ray of chest, 2 views | 281 | 270 | $0 |
Insurance plans in this area (ZIP 55802)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MN | 20610 | Aspiration and/or injection of large joint or joint capsule | 15 | 12 |
| DIAGNOSTIC RADIOLOGY | MN | 71010 | X-ray of chest, 1 view, front | 163 | 143 |
| DIAGNOSTIC RADIOLOGY | MN | 71250 | CT scan chest | 24 | 24 |
| DIAGNOSTIC RADIOLOGY | MN | 74177 | CT scan of abdomen and pelvis with contrast | 80 | 78 |
| DIAGNOSTIC RADIOLOGY | MN | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| General Surgery | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Family Practice | MN | |
| Diagnostic Radiology | MN |
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