IAN J LALICH (MD) – Otolaryngology Physician, NPI 1285955203
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
273 OTOLARYNGOLOGY in MN
Provider Addresses for IAN J LALICH (MD)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
Phone: (612) 672-7272
Type: Mailing
6401 UNIVERSITY AVE NE
FRIDLEY, MN 554324341
Phone: (612) 626-5900
Fax: (612) 884-0659
Type: Location
400 STINSON BLVD FL 2
MINNEAPOLIS, MN 554132614
Phone:
Type: Mailing
290 MAIN ST NW STE 100
ELK RIVER, MN 55330
Phone: (763) 241-5800
Type: Location
2945 Hazelwood St
Maplewood, MN 551091241
Phone: (612) 626-5490
Type: Location
5200 Fairview Blvd
Wyoming, MN 550928013
Phone: (612) 626-5900
Type: Location
14500 99th Ave N
Maple Grove, MN 553694730
Phone: (612) 626-5900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $2,089.
Total Amount is formed as General ($2,089) + Research ($0) + Ownership ($0) = $2,089.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($1,560).
Total Amount
$2,089
General + Research + Ownership
Payments
22
Total payment records
General Amount
$2,089
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $1,560 |
| Acclarent, Inc | $239 |
| Medtronic, Inc. | $151 |
| Itamar Medical Inc | $80 |
| Integra LifeSciences Corporation | $60 |
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: 2011-11-03
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 |
|---|---|---|---|---|
| I20111103000860 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 116 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 63 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 60 | 47 | $0 |
| 69210 | Removal of impacted ear wax | 54 | 38 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $0 |
Insurance plans in this area (ZIP 55454)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Internal Medicine | MN | |
| - | MN | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| Internal Medicine | MN | |
| - | MN |
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