ANDREW MANOS (PA-C) – Physician Assistant, NPI 1295126639

ANDREW MANOS (PA-C) is a healthcare provider. based in Golden valley, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 12043 (MN). The NPI Number for ANDREW MANOS (PA-C) is 1295126639

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW MANOS (PA-C)
NPI
1295126639
Phone
(952) 960-9399
Address
8401 GOLDEN VALLEY RD STE 340
Enumeration Date
6 February 2015
Last Update Date
23 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529609399
Graduation Year
2014 (12 years ago)
PAC ID
9133426349
Group Practice PAC ID
5991168254
Professional Enrollment ID
I20160401000352
Address ID
MN554274488GO8401XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for ANDREW MANOS (PA-C)

  • 8401 GOLDEN VALLEY RD STE 340

    GOLDEN VALLEY, MN 554274488

    Phone: (952) 960-9399

    Fax: (952) 206-6467

    Type: Location

  • 909 FULTON ST SE

    UNIVERSITY OF MN HEALTH AMBULATORY SURGERY CENTER

    MINNEAPOLIS, MN 554554800

    Phone: (612) 676-4200

    Type: Mailing

  • 909 Fulton St SE

    University of MN Health Ambulatory Surgery Center

    Minneapolis, MN 554554800

    Phone: (612) 676-4200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $3,092.

Total Amount is formed as General ($3,092) + Research ($0) + Ownership ($0) = $3,092.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Sirtex Medical Inc ($1,262).

Total Amount

$3,092

General + Research + Ownership

Payments

28

Total payment records

General Amount

$3,092

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-04-01

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
I20160401000352IPhysician AssistantMNTBD

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
76937Ultrasonic guidance for blood vessel access1412$0
77001Fluoroscopic guidance for insertion or removal of central vein access device1412$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 55427)

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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: 5991168254View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyIA
U R O L O G YIN
Interventional RadiologyIL
Physician AssistantSD

Reviews

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Frequently asked questions

What unique ID ties claims to ANDREW MANOS (PA-C)?
NPI 1295126639 is assigned to ANDREW MANOS (PA-C) under the national enumeration system.
Is ANDREW MANOS (PA-C)'s NPI currently valid?
The extract we use shows ANDREW MANOS (PA-C) as active.
Does ANDREW MANOS (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for ANDREW MANOS (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for ANDREW MANOS (PA-C)?
The page summarizes Golden Valley, Minnesota for ANDREW MANOS (PA-C); expand the address list for detail.
Is ANDREW MANOS (PA-C) a real provider?
This page reflects official NPPES data for NPI 1295126639. Always confirm identity and privileges with the practice and licensing boards.

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