KEVIN J MULLANEY (MD) – Orthopaedic Surgery of the Spine Physician, NPI 1447289160
Orthopaedic Surgery of the Spine Physician
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NPPES metrics only — not quality of care.
819 ORTHOPEDIC SURGERY in MN
Provider Addresses for KEVIN J MULLANEY (MD)
913 E 26th St
600
Minneapolis, MN 554044515
Phone: (612) 775-6200
Fax: (612) 775-6222
Type: Location
913, East 26th Street, Midtown Phillips, Phillips, Minneapolis, Hennepin County, Minnesota, 55404, United States
600
MINNEAPOLIS, MN 554044515
Phone: (612) 775-6200
Fax: (612) 775-6222
Type: Mailing
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 554254516
Phone:
Type: Mailing
8100 NORTHLAND DR
BLOOMINGTON, MN 554314800
Phone: (952) 831-8742
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $488.
Total Amount is formed as General ($488) + Research ($0) + Ownership ($0) = $488.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Medtronic, Inc. ($440).
Total Amount
$488
General + Research + Ownership
Payments
7
Total payment records
General Amount
$488
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $440 |
| Orthofix Medical, Inc. | $48 |
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: 2003-12-17
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 |
|---|---|---|---|---|
| I20031217000701 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 197 | 146 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 107 | 75 | $0 |
| 22614 | Fusion of additional segment of spine | 76 | 30 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 73 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 67 | $0 |
Insurance plans in this area (ZIP 55404)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | MN | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 16 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| Physical Medicine And Rehabilitation | MN | |
| Orthopedic Surgery | MN | |
| Occupational Therapist In Private Practice | MN | |
| - | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| - | MN |
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