AMANDA MARIE KLEPPE (MD) – Diagnostic Radiology Physician, NPI 1336678689
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
Provider Addresses for AMANDA MARIE KLEPPE (MD)
2355 HWY 36 W.
STE. 100
ROSEVILLE, MN 55113
Phone: (651) 292-2000
Type: Mailing
2355 HWY 36 W
STE. 100
ROSEVILLE, MN 55113
Phone: (651) 292-2000
Type: Location
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN 462025209
Phone: (317) 278-2686
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
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.
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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: 2023-08-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20200721004289 | I | Diagnostic Radiology | ND | TBD |
| I20230713002262 | I | Diagnostic Radiology | MN | TBD |
| I20230810004215 | I | Diagnostic Radiology | WI | 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 | 261 | 261 | $0 |
| 77063 | Screening 3d breast mammography | 244 | 244 | $0 |
| 71045 | X-ray of chest, 1 view | 86 | 82 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 63 | 63 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 57 | 56 | $0 |
Insurance plans in this area (ZIP 55113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | WI | |
| - | MN | |
| - | MN | |
| - | MN | |
| Physician Assistant | MN | |
| Diagnostic Radiology | MN | |
| - | MN | |
| Diagnostic Radiology | MN |
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