MR. STEPHEN D VANG (PA-C) – Medical Physician Assistant, NPI 1366755415
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for MR. STEPHEN D VANG (PA-C)
166 19TH ST S
SUITE 101
SARTELL, MN 563774654
Phone: (320) 230-7788
Fax: (320) 230-7789
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $784.
Total Amount is formed as General ($784) + Research ($0) + Ownership ($0) = $784.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($493).
Total Amount
$784
General + Research + Ownership
Payments
30
Total payment records
General Amount
$784
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $493 |
| Abbott Laboratories | $111 |
| Relievant Medsystems, Inc. | $105 |
| SI-BONE, INC. | $37 |
| ABBVIE INC. | $20 |
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: 2011-03-18
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 |
|---|---|---|---|---|
| I20110318000172 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 713 | 209 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 92 | 59 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 84 | 84 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 74 | 57 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 61 | 44 | $0 |
Insurance plans in this area (ZIP 56377)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MN | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 40 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management | MN | |
| Physical Medicine And Rehabilitation | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Nurse Practitioner | SD | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Interventional Pain Management | MN | |
| Pain Management, Physical Medicine And Rehabilitation | MN |
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