GARY FETZER (MD) – Orthopaedic Surgery Physician, NPI 1447291810
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
819 ORTHOPEDIC SURGERY in MN
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Provider Addresses for GARY FETZER (MD)
33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States
PO BOX 1309 MAIL STOP 21110Q
MINNEAPOLIS, MN 554254516
Phone:
Type: Mailing
Tria Orthopedic Center, 8100, Northland Drive, Bloomington, Hennepin County, Minnesota, 55435, United States
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 1 Open Payments records for all available years, with a total value of $154.
Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.
Last reported payment date: 2023-07-13 • Largest payer in this snapshot: Stryker Corporation ($154).
Total Amount
$154
General + Research + Ownership
Payments
1
Total payment records
General Amount
$154
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $154 |
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: 2006-06-26
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 |
|---|---|---|---|---|
| I20060626000006 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 152 | 21 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 48 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 36 | $0 |
| 73562 | X-ray of knee, 3 views | 26 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 55425)
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Provider's Procedures
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 |
Reviews
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