DR. PHYLLIS NOSS (M.D.) – Diagnostic Radiology Physician, NPI 1487745253

DR. PHYLLIS NOSS (M.D.) is a healthcare provider. based in Moose lake, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MN44231 (MN). The NPI Number for DR. PHYLLIS NOSS (M.D.) is 1487745253

Main info

Female
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHYLLIS NOSS (M.D.)
NPI
1487745253
Phone
(218) 312-3002
Address
4572 County Road 61
Enumeration Date
27 September 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2184855578
Graduation Year
1979 (47 years ago)
PAC ID
2769379411
Professional Enrollment ID
I20040228000074
Address ID
MN557679401MO4572XRDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

Provider Addresses for DR. PHYLLIS NOSS (M.D.)

  • 4572 County Road 61

    Moose Lake, MN 557679401

    Phone: (218) 312-3002

    Type: Location

  • 1200, East 25th Street, Scranton, Hibbing, Saint Louis County, Minnesota, 55746, United States

    HIBBING, MN 557463897

    Phone: (218) 312-3002

    Fax: (218) 263-8933

    Type: Mailing

  • 1924, Dunedin Avenue, Hunters Park, Duluth, Saint Louis County, Minnesota, 55803, United States

    DULUTH, MN 558032400

    Phone: (218) 724-6083

    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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-15

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2004-02-28

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
I20040228000074IDiagnostic RadiologyMNTBD

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
77067Screening mammography108108$0
77063Screening 3d breast mammography104104$0
71046X-ray of chest, 2 views6754$0
72100X-ray of lower and sacral spine, 2-3 views1616$0
77065Diagnostic mammography of 1 breast1311$0
View full utilization report →

Insurance plans in this area (ZIP 55767)

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Provider's Procedures

DR. PHYLLIS NOSS (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMN71250CT scan chest1413
DIAGNOSTIC RADIOLOGYMN73110X-ray of wrist, minimum of 3 views1514
DIAGNOSTIC RADIOLOGYMN73562X-ray of knee, 3 views1313
DIAGNOSTIC RADIOLOGYMN73630X-ray of foot, minimum of 3 views2018

Reviews

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Frequently asked questions

What identifier follows DR. PHYLLIS NOSS (M.D.) across health systems?
The NPI 1487745253 uniquely identifies DR. PHYLLIS NOSS (M.D.) in U.S. healthcare data.
Does the public listing show DR. PHYLLIS NOSS (M.D.) as active?
DR. PHYLLIS NOSS (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. PHYLLIS NOSS (M.D.) provide?
DR. PHYLLIS NOSS (M.D.)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. PHYLLIS NOSS (M.D.) in Moose Lake, Minnesota?
For routing, start with Moose Lake, Minnesota for DR. PHYLLIS NOSS (M.D.), then verify phone and hours locally.
Why is information missing for DR. PHYLLIS NOSS (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.