DR. KELLY KOSS BOWLIN (D.O.) – Obstetrics & Gynecology Physician, NPI 1477582880
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 OBSTETRICS/GYNECOLOGY in MN
Provider Addresses for DR. KELLY KOSS BOWLIN (D.O.)
14000 Fairview Dr
Burnsville, MN 553375713
Phone: (952) 993-8693
Type: Location
Healthpartners, 8170, 33rd Avenue South, Bloomington, Hennepin County, Minnesota, 55425, United States
MS 21110Q
BLOOMINGTON, MN 554254516
Phone:
Type: Mailing
Health Partners St Paul Clinic, 205, Wabasha Street South, Saint Paul, Ramsey County, Minnesota, 55107, United States
SAINT PAUL, MN 551071805
Phone: (651) 293-8100
Fax: (651) 293-8106
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: 2009-09-17
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 |
|---|---|---|---|---|
| I20090917000104 | I | Obstetrics/Gynecology | 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 |
|---|---|---|---|---|
| 76856 | Complete ultrasound scan of pelvis | 16 | 16 | $0 |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 14 | 14 | $0 |
Insurance plans in this area (ZIP 55337)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Clinical Psychologist | MN | |
| - | MN | |
| P S Y C H I A T R Y | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| P O D I A T R Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
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