DR. ALISA M BARDO-MARTINSON (MD) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1417934969
Hospice and Palliative Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
115 HOSPICE/PALLIATIVE CARE in MN
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Provider Addresses for DR. ALISA M BARDO-MARTINSON (MD)
PO BOX 43
MR 10202
MINNEAPOLIS, MN 55440
Phone: (612) 262-1166
Fax: (612) 262-4258
Type: Mailing
Abbott Northwestern Hospital, 800, East 28th Street, Midtown Phillips, Phillips, Minneapolis, Hennepin County, Minnesota, 55407, United States
MINNEAPOLIS, MN 554073723
Phone: (651) 635-9173
Fax: (651) 628-2999
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: 2005-08-12
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 |
|---|---|---|---|---|
| I20050812000212 | I | Hospice/Palliative Care | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 72 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 20 | $0 |
Insurance plans in this area (ZIP 55440)
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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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