DR. PAUL B. BANDELIN (DO) – Dermatology Physician, NPI 1497805071

DR. PAUL B. BANDELIN (DO) is a healthcare provider. based in Mankato, Minnesota. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. 50184-21 (WI). The NPI Number for DR. PAUL B. BANDELIN (DO) is 1497805071

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL B. BANDELIN (DO)
NPI
1497805071
Phone
(507) 625-1811
Address
1230 E MAIN ST
Enumeration Date
12 January 2007
Last Update Date
22 July 2020

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Secondary Phone
5076251811
Graduation Year
2005 (21 years ago)
PAC ID
6204125727
Group Practice PAC ID
5597677955
Professional Enrollment ID
I20160523000872
Address ID
MN560028674MA1230XEXXX401

Contacts

Secure Messaging
paulbandelin@mklt.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

419 DERMATOLOGY in MN

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Provider Addresses for DR. PAUL B. BANDELIN (DO)

  • Mankato Clinic, 1230, East Main Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States

    PO BOX 8674

    MANKATO, MN 560015066

    Phone: (507) 625-1811

    Type: Mailing

  • Sunrise Drive, Summit Mobile Home Park, stp, Nicollet County, Minnesota, 56082, United States

    SUITE 300

    SAINT PETER, MN 560825376

    Phone: (507) 389-8538

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($66).

Total Amount

$124

General + Research + Ownership

Payments

7

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-05-23

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
I20160523000872IDermatologyMNTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,331209$0
99213Established patient office or other outpatient visit, 20-29 minutes509388$0
17000Destruction of precancer skin growth, 1 growth328253$0
88305Pathology examination of tissue using a microscope, intermediate complexity313163$0
11102Biopsy of related skin growth, first growth259222$0
View full utilization report →

Insurance plans in this area (ZIP 56001)

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Provider's Procedures

DR. PAUL B. BANDELIN (DO) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMN11101Biopsy of each additional growth of skin and/or tissue3917
DERMATOLOGYMN17003Destruction of 2-14 skin growths13523

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: 5597677955View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
-MN
Diagnostic RadiologyCO
Physician AssistantMN
P O D I A T R YMN
-MN
-MN
General SurgeryMN
Diagnostic Radiology, Internal MedicineMN

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Frequently asked questions

What is the standard ID for DR. PAUL B. BANDELIN (DO) in the U.S.?
In the U.S., DR. PAUL B. BANDELIN (DO) is identified by NPI 1497805071.
Is DR. PAUL B. BANDELIN (DO) currently accepting referrals based on NPI status?
Registry metadata lists DR. PAUL B. BANDELIN (DO) as active.
What does the directory say DR. PAUL B. BANDELIN (DO) does?
Insurance directories may phrase it differently, but here DR. PAUL B. BANDELIN (DO) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. PAUL B. BANDELIN (DO) in Mankato, Minnesota?
For routing, start with Mankato, Minnesota for DR. PAUL B. BANDELIN (DO), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.