KRISTIN GENDRON (M.D.) – Otolaryngology Physician, NPI 1457307316

KRISTIN GENDRON (M.D.) is a healthcare provider. based in Lakeville, Minnesota. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 52468-20 (WI). The NPI Number for KRISTIN GENDRON (M.D.) is 1457307316

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN GENDRON (M.D.)
NPI
1457307316
Phone
(651) 702-0750
Address
11020 161st Street West
Enumeration Date
25 May 2006
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
6517020750
Graduation Year
2006 (20 years ago)
PAC ID
0143231704
Group Practice PAC ID
1658268651
Professional Enrollment ID
I20070822000818
Address ID
MN551255805WO217XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

273 OTOLARYNGOLOGY in MN

Provider Addresses for KRISTIN GENDRON (M.D.)

  • 11020 161st Street West

    Lakeville, MN 55044

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

  • 3460 Promenade Ave

    Eagan, MN 551234404

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

  • 3590 Arcade St

    Vadnais Heights, MN 551277135

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

  • 2651 Hillcrest Dr Ste 302

    Hudson, WI 540169919

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

  • 215 RADIO DR STE 202

    WOODBURY, MN 551255822

    Phone: (651) 702-0570

    Fax: (651) 645-6166

    Type: Mailing

  • 217 RADIO DR

    WOODBURY, MN 551255805

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

  • Woodwinds Drive, Woodbury, Washington County, Minnesota, 55119, United States

    WOODBURY, MN 551252524

    Phone: (651) 702-0570

    Fax: (651) 645-6166

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2007-08-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070822000818IOtolaryngologyMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes187129$0
31575Diagnostic exam of voice box using a flexible endoscope11485$0
99214Established patient office or other outpatient visit, 30-39 minutes10378$0
69210Removal of impacted ear wax9374$0
99203New patient office or other outpatient visit, 30-44 minutes6666$0
View full utilization report →

Insurance plans in this area (ZIP 55044)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658268651View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMN
Otolaryngology, Plastic And Reconstructive SurgeryMN
O T O L A R Y N G O L O G YMN
O T O L A R Y N G O L O G YMN
Physician AssistantMN
Physician AssistantMN
Qualified AudiologistMN
Qualified AudiologistMN
Qualified AudiologistMN
Nurse PractitionerWI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to KRISTIN GENDRON (M.D.)?
NPI 1457307316 is assigned to KRISTIN GENDRON (M.D.) under the national enumeration system.
Is KRISTIN GENDRON (M.D.)'s NPI currently valid?
The extract we use shows KRISTIN GENDRON (M.D.) as active.
What field does KRISTIN GENDRON (M.D.) work in?
You can think of KRISTIN GENDRON (M.D.) as practicing within Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place KRISTIN GENDRON (M.D.)?
The snapshot lists Lakeville, Minnesota for KRISTIN GENDRON (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

GEOFFREY J SERVICE (M.D.)

Otolaryngology Physician
2651 Hillcrest Dr Ste 302
NPI: 1831162601

MR. ERIC THOMAS BECKEN (MD)

Otolaryngology Physician
3590 Arcade St
NPI: 1578509832
3460 Promenade Ave
NPI: 1295771558

MR. RICHARD G KARLEN (MD)

Otolaryngology Physician
3460 Promenade Ave
NPI: 1013953371

Midwest ENT Specialists

Otolaryngology Physician
2651 Hillcrest Dr Ste 302
NPI: 1821195959

DR. GARRETT R GRIFFIN (MD)

Facial Plastic Surgery Physician
2080 WOODWINDS DR
NPI: 1326169160

DR. JAMIE KATHERINE FLOHR (M.D.)

Otolaryngology Physician
215 RADIO DR STE 202
NPI: 1144451691

BENJAMIN LEE ADDICKS (M.D.)

Otolaryngology Physician
3590 Arcade St
NPI: 1598108698

ANNA BAKEMAN

Facial Plastic Surgery Physician
3460 Promenade Ave
NPI: 1538521869