DR. ALFONSO JR. MORALES-UTRILLA (M.D.) – Family Medicine Physician, NPI 1407901499
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ALFONSO JR. MORALES-UTRILLA (M.D.)
821 RAYMOND AVE STE 230
SAINT PAUL, MN 551141503
Phone: (651) 644-6002
Fax: (651) 647-1647
Type: Location
Ries Tower Concordia University, 393, North Dunlap Street, Lexington - Hamline, Union Park, Saint Paul, Ramsey County, Minnesota, 55104, United States
SUITE LL 34
SAINT PAUL, MN 551044200
Phone: (651) 644-6002
Fax: (651) 647-1647
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.
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: 2004-01-23
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 |
|---|---|---|---|---|
| I20040123000329 | I | Preventive 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 |
|---|---|---|---|---|
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 1,293 | 28 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 464 | 30 | $0 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 437 | 29 | $0 |
Insurance plans in this area (ZIP 55114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| C H I R O P R A C T I C | MN | |
| C H I R O P R A C T I C | MN | |
| Physical Therapist In Private Practice | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| - | MN | |
| C H I R O P R A C T I C | MN | |
| C H I R O P R A C T I C | MN |
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