GREGORY S DEFOR (MD) – Family Medicine Physician, NPI 1265496954

GREGORY S DEFOR (MD) is a healthcare provider. based in Bloomington, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 38410 (MN). The NPI Number for GREGORY S DEFOR (MD) is 1265496954

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY S DEFOR (MD)
NPI
1265496954
Phone
(651) 552-2600
Address
8170 33RD AVE S
Enumeration Date
12 April 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3202452211
Graduation Year
1994 (32 years ago)
PAC ID
3971630419
Group Practice PAC ID
3870406945
Professional Enrollment ID
I20100415000060
Address ID
MN550725099SA705XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

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Provider Addresses for GREGORY S DEFOR (MD)

  • Healthpartners, 8170, 33rd Avenue South, Bloomington, Hennepin County, Minnesota, 55425, United States

    MS21110Q

    BLOOMINGTON, MN 554254516

    Phone: (651) 552-2600

    Fax: (651) 552-2614

    Type: Mailing

  • 5625, Cenex Drive, Inver Grove Heights, Dakota County, Minnesota, 55077, United States

    INVER GROVE HEIGHTS, MN 550771724

    Phone: (651) 552-2600

    Fax: (651) 552-2614

    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: 2010-04-15

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
I20100415000060IFamily PracticeMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2319$0
99215Established patient office or other outpatient visit, 40-54 minutes2112$0
99213Established patient office or other outpatient visit, 20-29 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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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: 3870406945View full group profile
NameSpecialtyState
Nurse PractitionerMN
Family PracticeMN
Nurse PractitionerMN
P O D I A T R YMN
Nurse PractitionerMN
Physician AssistantMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

How do payers reference GREGORY S DEFOR (MD)?
For GREGORY S DEFOR (MD), use NPI 1265496954 as the unique 10-digit identifier.
Is GREGORY S DEFOR (MD) still an active registrant?
GREGORY S DEFOR (MD) carries an active NPI according to the public dataset.
What area of care is associated with GREGORY S DEFOR (MD)?
GREGORY S DEFOR (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with GREGORY S DEFOR (MD)?
Directory geography for GREGORY S DEFOR (MD) centers on Bloomington, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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