MARK H PETRY (M.D.) – Family Medicine Physician, NPI 1487668034
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
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Provider Addresses for MARK H PETRY (M.D.)
Harvest Christian School, 204, Lundorff Drive, Sandstone, Pine County, Minnesota, 55072, United States
SANDSTONE, MN 550725051
Phone: (320) 245-2250
Fax: (320) 245-2555
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $342.
Total Amount is formed as General ($342) + Research ($0) + Ownership ($0) = $342.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($63).
Total Amount
$342
General + Research + Ownership
Payments
21
Total payment records
General Amount
$342
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-08-07
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 |
|---|---|---|---|---|
| I20060807000141 | I | Family Practice | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 205 | 100 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 131 | 77 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 81 | 46 | $0 |
| 82607 | Cyanocobalamin (vitamin b-12) level | 65 | 47 | $0 |
| 83036 | Hemoglobin a1c level | 62 | 42 | $0 |
Insurance plans in this area (ZIP 55072)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | MN | |
| Family Practice | MN | |
| Family Practice, Emergency Medicine | MN | |
| Family Practice | MN | |
| Family Practice, Emergency Medicine | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| - | FL | |
| Family Practice | MN |
Reviews
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