LENORE I EVERSON (MD) – Addiction Medicine (Preventive Medicine) Physician, NPI 1407106149

LENORE I EVERSON (MD) is a healthcare provider. based in Burnsville, Minnesota. specializing in ADDICTION MEDICINE. They hold the professional credentials MD. They hold a License No. 33991 (MN). The NPI Number for LENORE I EVERSON (MD) is 1407106149

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
LENORE I EVERSON (MD)
NPI
1407106149
Phone
(612) 444-3000
Address
2428 E 117TH ST
Enumeration Date
10 September 2012
Last Update Date
22 March 2024

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6124443000
Graduation Year
1985 (41 years ago)
PAC ID
4880086875
Group Practice PAC ID
7517198211
Professional Enrollment ID
I20220125002446
Address ID
MN553371269BU2428XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

40 ADDICTION MEDICINE in MN

Provider Addresses for LENORE I EVERSON (MD)

  • 2428 E 117TH ST

    BURNSVILLE, MN 553371269

    Phone: (612) 444-3000

    Fax: (612) 449-0004

    Type: Location

  • 420 DELAWARE ST SE

    MMC 292

    MINNEAPOLIS, MN 554550341

    Phone: (612) 626-5566

    Fax: (612) 626-5505

    Type: Mailing

  • 420 Delaware St SE

    MMC 292

    Minneapolis, MN 554550341

    Phone: (612) 626-5566

    Fax: (612) 626-5505

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $159.

Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($88).

Total Amount

$159

General + Research + Ownership

Payments

4

Total payment records

General Amount

$159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

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: 2022-01-25

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
I20220125002446IAddiction MedicineMNTBD

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
80305Testing for presence of drug, read by direct observation14852$0
G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms14449$0
99215Established patient office or other outpatient visit, 40-54 minutes13750$0
99214Established patient office or other outpatient visit, 30-39 minutes1714$0
View full utilization report →

Insurance plans in this area (ZIP 55337)

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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: 7517198211View full group profile
NameSpecialtyState
Physician AssistantMN
-MN
Physician AssistantMN
Physician AssistantIN
-MN
Nurse PractitionerMN
Pain Management, Physical Medicine And RehabilitationMN
Physician AssistantMN
Physician AssistantMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for LENORE I EVERSON (MD)?
LENORE I EVERSON (MD) — NPI 1407106149 — is the standard way to identify this listing.
Does CMS list LENORE I EVERSON (MD) as active?
Yes — LENORE I EVERSON (MD) is active in the NPI listing used on this page.
What is LENORE I EVERSON (MD)'s primary classification?
Addiction Medicine (Preventive Medicine) Physician is the headline specialty for LENORE I EVERSON (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect LENORE I EVERSON (MD) on a map?
Expect Burnsville, Minnesota as a primary anchor for LENORE I EVERSON (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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