JACK GRAY BEAIRD (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1407810286
Geriatric Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
101 GERIATRIC MEDICINE in MN
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Provider Addresses for JACK GRAY BEAIRD (MD)
Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States
MINNEAPOLIS, MN 554071321
Phone: (612) 262-5000
Type: Mailing
Allina Medical Clinic Woodlake, 407, West 66th Street, Richfield, Hennepin County, Minnesota, 55423, United States
RICHFIELD, MN 554232374
Phone: (612) 798-8800
Fax: (612) 798-8816
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-03-15
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 |
|---|---|---|---|---|
| I20100315000987 | I | Geriatric Medicine | 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 | 356 | 188 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 296 | 176 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 225 | 153 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 200 | 154 | $0 |
| 93793 | Anticoagulant management of patient taking warfarin | 197 | 13 | $0 |
Insurance plans in this area (ZIP 55407)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Qualified Audiologist | MN | |
| Family Practice | MN | |
| - | MN | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
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